DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: LIVE OAK NEUROSURGICAL ASSOCIATES PLLC

MEDICARE: LIVE OAK NEUROSURGICAL ASSOCIATES PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207T00000XNeurological Surgery Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2QYYRSOTHERFLFLORIDA BLUE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184140683
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVE OAK NEUROSURGICAL ASSOCIATES PLLC
Provider Business Mailing Address
First Line : PO BOX 2243
Second Line :
City : PENSACOLA
State : FL
Zip : 32513-2243
Country : US
Telephone Number : 850-478-1312
Fax Number : 850-474-9060
Provider Business Practice Location Address
First Line : 1555 N PALAFOX ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-2134
Country : US
Telephone Number : 850-512-3482
Fax Number : 850-969-2130
Authorized Official
Title or Position : OWNER
Name : CHARLES L WOLFF
Credential : MD
Telephone Number : 850-890-7706
Provider Enumeration Date : 08/16/2017
Last Update Date : 09/10/2025

Similar Medicare Providers

1841389756 — MR. MATTHEW BLAKE HAMMOND PA-C
Practice Location Address:
1555 N PALAFOX ST
PENSACOLA, FL
32501-2134
Practice Phone: 850-512-3482
Practice Fax: 850-969-2130
1972583193 — DR. CLARK STEPHEN METZGER SR. M.D.
Practice Location Address:
1555 N PALAFOX ST
PENSACOLA, FL
32501-2134
Practice Phone: 850-512-3482
Practice Fax: 850-969-2130
1649254855 — DR. CHARLES L WOLFF III MD
Practice Location Address:
1555 N PALAFOX ST
PENSACOLA, FL
32501-2134
Practice Phone: 850-512-3482
Practice Fax: 850-969-2130
1548270788 — MICHAEL LOUIS GOODMAN MD
Practice Location Address:
1555 N PALAFOX ST
PENSACOLA, FL
32501-2134
Practice Phone: 850-512-3482
Practice Fax: 850-969-2130
1174402846 — TYNEAL SMITH FNP
Practice Location Address:
1555 N PALAFOX ST
PENSACOLA, FL
32501-2134
Practice Phone: 850-890-7706
Practice Fax:
1366126377 — MEGAN OWEN-HEATON LCSW
Practice Location Address:
2134 COPLEY DR
PENSACOLA, FL
32503-3449
Practice Phone: 850-590-7227
Practice Fax:

Directions to “LIVE OAK NEUROSURGICAL ASSOCIATES PLLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.