Individual
DR. CHARLES ELLIOTT LIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6610 N UNIVERSITY DR, SUITE 120, TAMARAC, FL 33321-4034
(954) 720-6166
(954) 720-3638
Mailing address
6610 N UNIVERSITY DR, SUITE 120, TAMARAC, FL 33321-4034
(954) 720-6166
(954) 720-3638
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME59649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14822Y
MEDICARE PTAN
FL
05
—
370506400
—
FL
Enumeration date
08/13/2006
Last updated
05/16/2014
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