Organization
LIBERTY FIRST HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRAVIS L PRACHAR APRN (OWNER)
(941) 777-2775
Entity
Organization
Contact information
Practice address
329 NOKOMIS AVE S STE H, VENICE, FL 34285-2418
(941) 416-8781
(941) 214-9709
Mailing address
329 NOKOMIS AVE S STE H, VENICE, FL 34285-2418
(941) 777-2775
(941) 214-9709
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
11/10/2021
Last updated
07/09/2024
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