Provider Demographics
NPI:1801767785
Name:LIUVIT ALDAMA GAROFALO LLC.
Entity type:Organization
Organization Name:LIUVIT ALDAMA GAROFALO LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUTHORIZED OFFICIAL
Authorized Official - Prefix:
Authorized Official - First Name:LIUVIT
Authorized Official - Middle Name:
Authorized Official - Last Name:ALDAMA GAROFALO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-663-1745
Mailing Address - Street 1:7901 4TH ST N # 9258
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33702-4305
Mailing Address - Country:US
Mailing Address - Phone:407-663-1745
Mailing Address - Fax:407-214-8693
Practice Address - Street 1:3891 CARRICK BEND DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2975
Practice Address - Country:US
Practice Address - Phone:407-663-1745
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care