Organization
LIBERTY MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIPE JIMENEZ (PRESIDENT)
(786) 521-4407
Entity
Organization
Contact information
Practice address
331 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5526
(786) 521-4407
Mailing address
331 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-5526
(786) 521-4407
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/10/2007
Last updated
12/10/2007
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