# FRED A LIEBOWITZ MD PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Headache and Pain Management Center of SWFL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265984124
- **Authorized official:** DR. FRED ALLAN LIEBOWITZ M.D. (PHYSICIAN OWNER)
- **Authorized official phone:** (239) 278-1000

## Contact information

- **Practice address:** 6150 DIAMOND CENTRE CT, 700-1, FORT MYERS, FL 33912-4367
- **Practice address phone:** (239) 278-1000
- **Practice address fax:** (239) 278-0501
- **Mailing address:** 6150 DIAMOND CENTRE CT, 700-1, FORT MYERS, FL 33912-4367
- **Mailing address phone:** (239) 278-1000
- **Mailing address fax:** (239) 278-0501

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | ME60344 | FL | Yes |

## Other

- **Enumeration date:** 10/26/2016
- **Last updated:** 10/26/2016