# LIBERATOR HEALTH AND EDUCATIONAL SERVICES, INC.

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

## Provider details

- **NPI number:** 1366696817
- **Authorized official:** MR. MARK ANTHONY LIBRATORE (PRESIDENT)
- **Authorized official phone:** (772) 287-4598

## Contact information

- **Practice address:** 4651 SALISBURY RD, SUITE 471, JACKSONVILLE, FL 32256-6107
- **Practice address phone:** (772) 287-4598
- **Practice address fax:** (800) 755-0843
- **Mailing address:** 4651 SALISBURY RD, SUITE 471, JACKSONVILLE, FL 32256-6107
- **Mailing address phone:** (772) 287-4598
- **Mailing address fax:** (800) 755-0843

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/11/2008
- **Last updated:** 11/11/2008