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Organization
LIBERTY COMMUNITY HEALTH CARE, INC
Active
Organization
LIBERTY COMMUNITY HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY DEASON HOWLAND (CHIEF EXECUTIVE OFFICER)
(850) 379-5800
Entity
Organization
Contact information
Practice address
17316 NE STATE ROAD 65, HOSFORD, FL 32334-2415
(850) 379-5800
(850) 379-5811
Mailing address
17316 NE STATE ROAD 65, HOSFORD, FL 32334-2415
(850) 379-5800
(850) 379-5811
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS7759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016050000
—
FL
Enumeration date
11/05/2015
Last updated
01/04/2017
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