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NPI Code Detail

MEDICARE: DR. SANDY LIEBERMAN MD

MEDICARE:  DR. SANDY  LIEBERMAN  MD
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
1208000000XPediatrics PhysicianME69536FL

Other Identifiers

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

General Provider Information

NPI Number : 1457360109
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SANDY LIEBERMAN MD
Provider Business Mailing Address
First Line : 1145 KANE CONCOURSE
Second Line :
City : BAY HARBOR ISLANDS
State : FL
Zip : 33154-2012
Country : US
Telephone Number : 305-865-5439
Fax Number : 305-866-5366
Provider Business Practice Location Address
First Line : 1145 KANE CONCOURSE
Second Line :
City : BAY HARBOR ISLANDS
State : FL
Zip : 33154-2012
Country : US
Telephone Number : 305-865-5439
Fax Number : 305-866-5366
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2006
Last Update Date : 06/17/2019

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Directions to “ DR. SANDY LIEBERMAN MD” Practice Location

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