Individual
BEATRIZ A. LIBOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1625 SE 3RD AVE STE 300, FT LAUDERDALE, FL 33316-2521
(954) 355-4665
(954) 355-4881
Mailing address
1608 SE 3RD AVE FL 3, FORT LAUDERDALE, FL 33316-2564
(954) 382-0700
(954) 382-0400
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9108899
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016913300
—
FL
Enumeration date
10/14/2015
Last updated
03/12/2026
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