Individual
DR. JAY ALAN LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
2964 N STATE ROAD 7, SUITE 205, MARGATE, FL 33063-5715
(954) 580-4080
(954) 580-4081
Mailing address
2964 N STATE ROAD 7, SUITE 205, MARGATE, FL 33063-5715
(954) 580-4080
(954) 580-4081
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO0001449
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO0001449
FL
213ES0131X
Foot Surgery Podiatrist
PO0001449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0410667
—
FL
Enumeration date
06/14/2006
Last updated
12/26/2013
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