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Organization
LIBERATOR HEALTH AND EDUCATIONAL SERVICES, INC.
Active
Organization
LIBERATOR HEALTH AND EDUCATIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY LIBRATORE (PRESIDENT)
(772) 287-4598
Entity
Organization
Contact information
Practice address
4651 SALISBURY RD, SUITE 471, JACKSONVILLE, FL 32256-6107
(772) 287-4598
(800) 755-0843
Mailing address
4651 SALISBURY RD, SUITE 471, JACKSONVILLE, FL 32256-6107
(772) 287-4598
(800) 755-0843
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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