Organization
LIBERTY PRO-MED INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VICENTE DIAZ (OWNER)
(786) 265-0441
Entity
Organization
Contact information
Practice address
8167 NW 60TH ST, MIAMI, FL 33166-3414
(305) 468-8028
(305) 468-8029
Mailing address
8167 NW 60TH ST, MIAMI, FL 33166-3414
(305) 468-8028
(305) 468-8029
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
1312493
FL
Other
Enumeration date
05/15/2006
Last updated
08/22/2020
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