| Doctor Name: | MR. PHILIP SCOTT LIVINGSTON |
| NPI Number: | 1053533711 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | CNMT |
| License Number: | CRT 46545 |
| Business Practice Address: | 9 W Front St Media, PA - 190632816 |
| Business Phone Number: | 8777678233 |
| Business Fax Number: | 8665401697 |
| Mailing Address: | 4494 Yacht Club Dr, VENICE |
| State: | FL |
| Postal Code: | 342935545 |
| Phone Number: | 9412845962 |
| Fax Number: | |
| NPI Enumeration Date: | 05/03/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2471N0900X |
| License Number: | CRT 46545 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Radiologic Technologist |
| Taxonomy Specialization: | Nuclear Medicine Technology |
| Taxonomy Definition: | |