# INNA LIBERMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1366717340
- **Gender:** F
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | PA9106453 | FL | — |
| 363A00000X | Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 03/09/2012
- **Last updated:** 06/25/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | GF433Y | MEDICARE | FL |
| 01 | — | GF433Z | MEDICARE | FL |