MEDICARE: BEATRIZ A. LIBOS PA-C

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	363AM0700X	Medical Physician Assistant	PA9108899	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1346611589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEATRIZ A. LIBOS PA-C

Provider Business Mailing Address
First Line	:	1608 SE 3RD AVE FL 3
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-2564
Country	:	US
Telephone Number	:	954-382-0700
Fax Number	:	954-382-0400

Provider Business Practice Location Address
First Line	:	1625 SE 3RD AVE STE 300
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33316-2521
Country	:	US
Telephone Number	:	954-355-4665
Fax Number	:	954-355-4881

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

Provider Enumeration Date	:	10/14/2015
Last Update Date	:	03/12/2026

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Directions to “ BEATRIZ A. LIBOS PA-C” Practice Location

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