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NPI Code Detail

MEDICARE: LIVER CARE FLORIDA PA

MEDICARE: LIVER CARE FLORIDA PA
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
1207RI0008XHepatology Physician

General Provider Information

NPI Number : 1316838188
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVER CARE FLORIDA PA
Provider Business Mailing Address
First Line : 1311 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-7118
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1311 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-7118
Country : US
Telephone Number : 513-655-3020
Fax Number :
Authorized Official
Title or Position : CEO
Name : BRANDON TUDOR
Credential :
Telephone Number : 513-655-3020
Provider Enumeration Date : 07/10/2025
Last Update Date : 02/06/2026

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Directions to “LIVER CARE FLORIDA PA ” Practice Location

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