# HIBERIS CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093419426
- **Authorized official:** MRS. ROSILENE CUSTODIO GONCALVES (VICE-PRESIDENT)
- **Authorized official phone:** (407) 509-0427

## Contact information

- **Practice address:** 3750 W COLONIAL DR \# 2, ORLANDO, FL 32808-7906
- **Practice address phone:** (833) 444-2374
- **Mailing address:** 3750 W COLONIAL DR \# 2, ORLANDO, FL 32808-7906
- **Mailing address phone:** (833) 444-2374

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 03/29/2023
- **Last updated:** 03/29/2023