# LIBERTY COMMUNITY HEALTH CARE, INC

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

## Provider details

- **NPI number:** 1962875435
- **Authorized official:** MRS. PEGGY DEASON HOWLAND (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (850) 379-5800

## Contact information

- **Practice address:** 17316 NE STATE ROAD 65, HOSFORD, FL 32334-2415
- **Practice address phone:** (850) 379-5800
- **Practice address fax:** (850) 379-5811
- **Mailing address:** 17316 NE STATE ROAD 65, HOSFORD, FL 32334-2415
- **Mailing address phone:** (850) 379-5800
- **Mailing address fax:** (850) 379-5811

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | OS7759 | FL | Yes |

## Other

- **Enumeration date:** 11/05/2015
- **Last updated:** 01/04/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 016050000 | — | FL |