Organization
MARK A LIEBERFARB MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A LIEBERFARB MD (OWNER)
(561) 641-4044
Entity
Organization
Contact information
Practice address
6894 LAKE WORTH RD, SUITE 204, LAKE WORTH, FL 33467-2964
(561) 641-4044
(561) 641-8524
Mailing address
6894 LAKE WORTH RD, SUITE 204, LAKE WORTH, FL 33467-2964
(561) 641-4044
(561) 641-8524
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME0048840
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049369400
—
FL
Enumeration date
03/01/2010
Last updated
11/30/2012
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