# LIBERTY MEDICAL RESPONSE INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LIBERTY MEDICAL SUPPLY INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1720240815
- **Legal business name:** LIBERTY MEDICAL SUPPLY INC
- **Authorized official:** KEITH JONES (PRESIDENT AND DIRECTOR)
- **Authorized official phone:** (773) 398-5800

## Contact information

- **Practice address:** 8883 LIBERTY LN, SUITE 150, PORT ST LUCIE, FL 34952-3477
- **Practice address phone:** (772) 398-5800
- **Practice address fax:** (772) 398-2192
- **Mailing address:** PO BOX 841863, DALLAS, TX 75284-1863
- **Mailing address phone:** (772) 398-5800
- **Mailing address fax:** (772) 398-2192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 130332/081051650 | FL | Yes |

## Other

- **Enumeration date:** 06/30/2008
- **Last updated:** 02/25/2009