Individual
INNA LIBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
9035 SUNSET DR, SUITE 202, MIAMI, FL 33173-3484
(305) 279-3366
(305) 271-3355
Mailing address
11880 SW 40TH ST, SUITE 304, MIAMI, FL 33175-3584
(305) 223-8808
(305) 223-8974
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
PA9106453
FL
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GF433Y
MEDICARE
FL
01
—
GF433Z
MEDICARE
FL
Enumeration date
03/09/2012
Last updated
06/25/2019
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