Organization
LIBERTY COMMUNITY HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PEGGY DEASON HOWLAND (CHIEF EXECUTIVE OFFICER)
(850) 379-5800
Entity
Organization
Contact information
Practice address
17316 NE STATE ROAD 65, HOSFORD, FL 32334-2415
(850) 379-5800
(850) 379-5811
Mailing address
17316 NE STATE ROAD 65, HOSFORD, FL 32334-2415
(850) 379-5800
(850) 379-5811
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
OS7759
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016050000
—
FL
Enumeration date
11/05/2015
Last updated
01/04/2017
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