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NPI Code Detail

MEDICARE: LIBERTY MEDICAL ASSOCIATES, P.A.

MEDICARE: LIBERTY MEDICAL ASSOCIATES, P.A.
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
1261QP2300XPrimary Care Clinic/CenterME52086FL

General Provider Information

NPI Number : 1265594626
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIBERTY MEDICAL ASSOCIATES, P.A.
Provider Business Mailing Address
First Line : 6777 NW 7TH AVE # 2-4
Second Line :
City : MIAMI
State : FL
Zip : 33150-4100
Country : US
Telephone Number : 305-751-2420
Fax Number : 305-759-3308
Provider Business Practice Location Address
First Line : 6777 NW 7TH AVE # 2-4
Second Line :
City : MIAMI
State : FL
Zip : 33150-4100
Country : US
Telephone Number : 305-751-2420
Fax Number : 305-759-3308
Authorized Official
Title or Position : PRESIDENT
Name : DR. RUFUS JOSEPH
Credential : M.D.
Telephone Number : 305-751-2420
Provider Enumeration Date : 12/14/2006
Last Update Date : 08/22/2020

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