Organization
LIBERTY MEDICAL RESPONSE INC
Active
Parent organization
LIBERTY MEDICAL SUPPLY INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERTY MEDICAL SUPPLY INC
Authorized official
KEITH JONES (PRESIDENT AND DIRECTOR)
(773) 398-5800
Entity
Organization
Contact information
Practice address
8883 LIBERTY LN, SUITE 150, PORT ST LUCIE, FL 34952-3477
(772) 398-5800
(772) 398-2192
Mailing address
PO BOX 841863, DALLAS, TX 75284-1863
(772) 398-5800
(772) 398-2192
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
130332/081051650
FL
Other
Enumeration date
06/30/2008
Last updated
02/25/2009
Update your record
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