LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC – NPI #1891556049
Hospitalist

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Health Care Provider Taxonomy Code for Hospitalist

LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC is a hospitalist located in BROOKSVILLE, FL. NPPES has assigned the NPI number 1891556049 to LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC on January 16, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC is also known by the name LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208M00000X from the Health Care Provider Taxonomy code set, which is classified as Hospitalist.

The NPI profile was last updated on Sep 14, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC below.

NPI Profile for
LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC

NPI Number
1891556049
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA LLC
Other Name: LIVEACTIVE MULTISPECIALTY PHYSICIAN GROUP TAMPA
Primary location
12440 CORTEZ BLVD
BROOKSVILLE, FL 34613-2628
Phone: (913) 549-3884 Fax:
1 Other location(s):
12440 Cortez Blvd
Brooksville, FL 34613-2628
Phone: (913) 549-3884
Mailing address
PO BOX 1269
BELLEVUE, NE 68005-1269
Phone: Fax:
Organization Subpart
No
Authorized Official
SHANE BRETHOWR
CEO/AUTHORIZED OFFICIAL
Phone: (913) 549-3884
Updated
Certification Date
Sep 14, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208M00000X
- Hospitalist (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.