MEDICARE: MR. BRETT LIEBERMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	106H00000X	Marriage & Family Therapist	MT2766	FL

General Provider Information

NPI Number	:	1427364280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRETT LIEBERMAN

Provider Business Mailing Address
First Line	:	4501 SW YAMADA DR
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34953-6758
Country	:	US
Telephone Number	:	772-708-8173
Fax Number	:	772-785-8921

Provider Business Practice Location Address
First Line	:	1562 SE VILLAGE GREEN DR STE 5&7
Second Line	:
City	:	PORT SAINT LUCIE
State	:	FL
Zip	:	34952-5100
Country	:	US
Telephone Number	:	772-465-4044
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2010
Last Update Date	:	10/08/2020

Similar Medicare Providers

1184245144 — WINDSONG WELLNESS, LLC
Practice Location Address:

1562 SE VILLAGE GREEN DR STE 5AND7
PORT SAINT LUCIE, FL
34952-5100

Practice Phone: 772-465-4044
Practice Fax: 772-468-6894

1225584907 — DR. GREGORIO JOSEPH CRIS GUGOL AQUINO DDS
Practice Location Address:

3415 SW ELLIS ST
PORT ST LUCIE, FL
34953-5100

Practice Phone: 772-224-1688
Practice Fax:

1053304774 — DR. TANWEER A MEMON M.D.
Practice Location Address:

2852 TAMIAMI TRL STE 5
PORT CHARLOTTE, FL
33952-5100

Practice Phone: 941-625-9494
Practice Fax: 941-743-8562

1043276660 — ROBERT MICHAEL LOVE MD
Practice Location Address:

1091 PORT MALABAR BLVD NE , STE 3
PALM BAY, FL
32905-5100

Practice Phone: 321-723-4616
Practice Fax: 321-722-2186

1134186794 — MR. GERMAN CASTRO M.D.
Practice Location Address:

1091 PORT MALABAR BLVD NE SUITE-1
PALM BAY, FL
32905-5100

Practice Phone: 321-728-7222
Practice Fax: 321-728-8823

1700835808 — PERFORMANCE PHYSICAL THERAPY, LLC
Practice Location Address:

5100 S CLYDE MORRIS BLVD , SUITE 200
PORT ORANGE, FL
32127-8976

Practice Phone: 386-304-8112
Practice Fax: 386-304-8014

Directions to “ MR. BRETT LIEBERMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.