Organization
LIBERTY MEDICAL DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BACOT MD (CEO)
(340) 779-2663
Entity
Organization
Contact information
Practice address
4006 ESTATE DIAMOND STE 203, CHRISTIANSTED, VI 00820-4534
(340) 718-2664
(340) 779-2443
Mailing address
PO BOX 11567, ST THOMAS, VI 00801-4567
(340) 779-2663
(340) 779-2443
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/07/2019
Last updated
05/24/2021
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