Individual
CAROL B. LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2201 S OCEAN DR, 1001, HOLLYWOOD, FL 33019-2539
(305) 968-4474
Mailing address
2201 S. OCEAN DRIVE, APT 1001, HOLLYWOOD, FL 33019
(305) 968-4474
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP1185222
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
302207200
—
FL
01
—
Y6819
BCBS
FL
Enumeration date
01/11/2006
Last updated
05/06/2011
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