MEDICARE: LIUBER CARBALLAR ALBERTERIES 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
1	207R00000X	Internal Medicine Physician	ME145387	FL

General Provider Information

NPI Number	:	1538698188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIUBER CARBALLAR ALBERTERIES MD

Provider Business Mailing Address
First Line	:	6101 WEBB RD STE 206
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-2865
Country	:	US
Telephone Number	:	813-946-8220
Fax Number	:	813-946-0301

Provider Business Practice Location Address
First Line	:	6101 WEBB RD STE 206
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-2865
Country	:	US
Telephone Number	:	813-946-8220
Fax Number	:	813-946-0301

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

Provider Enumeration Date	:	06/07/2017
Last Update Date	:	11/15/2021

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