Individual
JOHN G LIEB II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-4238
(352) 392-2877
(352) 392-3618
Mailing address
1600 SW ARCHER RD BOX 100214, GAINESVILLE, FL 32610-0214
(352) 392-2877
(352) 392-3618
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD428599
PA
207RG0100X
Gastroenterology Physician
Primary
ME101188
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105238400
—
FL
Enumeration date
11/13/2006
Last updated
03/09/2020
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