Individual
DONALD WALTER LIEBELT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3515 SE 17TH ST, OCALA, FL 34471
(352) 509-9165
(352) 861-7725
Mailing address
3515 SE 17TH ST, OCALA, FL 34471-5586
(352) 509-9165
(352) 861-7725
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME56468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10600
BCBS FL
FL
Enumeration date
11/14/2005
Last updated
10/23/2019
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