Individual
DEAN LIEBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5507 S CONGRESS AVE, SUITE 150, ATLANTIS, FL 33462-1139
(561) 433-4444
Mailing address
5507 S CONGRESS AVE, SUITE 150, ATLANTIS, FL 33462-1139
(561) 433-4444
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9100994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
290660100
—
FL
Enumeration date
08/04/2006
Last updated
05/18/2009
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