Individual
DOUGLAS FREDERICK LIEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1053 MEDICAL CENTER DR, SUITE 251, ORANGE CITY, FL 32763-8260
(386) 456-0210
(386) 456-0219
Mailing address
1053 MEDICAL CENTER DR, SUITE 251, ORANGE CITY, FL 32763-8260
(386) 456-0210
(386) 456-0219
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME82424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
261933400
—
FL
Enumeration date
07/03/2006
Last updated
12/16/2016
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