Individual
STUART N LIBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 951-3124
Mailing address
1223 GATEWAY DR, MELBOURNE, FL 32901-2607
(321) 725-4500
(321) 951-3124
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME70778
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080080569
RR MEDICARE
FL
05
—
379991300
—
FL
Enumeration date
11/03/2005
Last updated
12/16/2009
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