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Individual

KAREN F LIEBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1850 59TH ST W, BLAKE PARK STE B, BRADENTON, FL 34209
(941) 792-4993
(941) 795-2905
Mailing address
1850 59TH ST W, BLAKE PARK STE B, BRADENTON, FL 34209
(941) 792-4993
(941) 795-2905

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME59651
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12821
BCBS
FL
01
160033476
RAILROAD MEDICARE
FL
Enumeration date
04/17/2006
Last updated
01/20/2010
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