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Organization

LIBERTY MEDICAL SUPPLY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IVAN ASHLEY FERGUSON (OWNER)
(844) 397-5011
Entity
Organization

Contact information

Practice address
1700 N DIXIE HWY STE 116, BOCA RATON, FL 33432-1807
(844) 397-5011
Mailing address
1700 N DIXIE HWY STE 116, BOCA RATON, FL 33432-1807
(844) 397-5011

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
08/18/2020
Last updated
04/28/2022
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