Organization
JAIRO D LIBREROS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUZ DIVINA LIBREROS (BILLING COORDINATOR)
(813) 876-7246
Entity
Organization
Contact information
Practice address
36338 US HIGHWAY 19 N, PALM HARBOR, FL 34684-1329
(813) 876-7246
Mailing address
PO BOX 22807, TAMPA, FL 33622-2807
(813) 876-7246
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME63932
FL
Other
Enumeration date
10/02/2006
Last updated
04/13/2012
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