Organization
DOUGLAS F LIEB MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS F LIEB M.D. (PRESIDENT)
(407) 739-2598
Entity
Organization
Contact information
Practice address
1053 MEDICAL CENTER DR STE 242, ORANGE CITY, FL 32763-8261
(386) 456-0210
(386) 456-0219
Mailing address
1053 MEDICAL CENTER DR STE 242, ORANGE CITY, FL 32763-8261
(386) 456-0210
(386) 456-0219
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME82424
FL
208600000X
Surgery Physician
ME82424
FL
261Q00000X
Clinic/Center
ME82424
FL
Other
Enumeration date
04/21/2016
Last updated
03/31/2022
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