Organization
LIBERATOR HEALTH AND EDUCATIONAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ANTHONY LIBRATORE (PRESIDENT)
(772) 287-4598
Entity
Organization
Contact information
Practice address
4651 SALISBURY RD, SUITE 471, JACKSONVILLE, FL 32256-6107
(772) 287-4598
(800) 755-0843
Mailing address
4651 SALISBURY RD, SUITE 471, JACKSONVILLE, FL 32256-6107
(772) 287-4598
(800) 755-0843
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/11/2008
Last updated
11/11/2008
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