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Individual

DR. MARK LIEBERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3000 CORAL HILLS DR, CORAL SPRINGS MEDICAL CENTER - ED, CORAL SPRINGS, FL 33065-4108
(954) 344-3000
Mailing address
6245 NW 104TH WAY, PARKLAND, FL 33076-2359

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME 54945
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09093
MEDICARE CORE
FL
Enumeration date
09/27/2005
Last updated
12/13/2013
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