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NPI Code Detail

MEDICARE: CAROL B. LIEBERMAN ARNP

MEDICARE:   CAROL B. LIEBERMAN  ARNP
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
1363L00000XNurse PractitionerARNP1185222FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1Y6819OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891774642
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROL B. LIEBERMAN ARNP
Provider Business Mailing Address
First Line : 2201 S. OCEAN DRIVE
Second Line : APT 1001
City : HOLLYWOOD
State : FL
Zip : 33019
Country : US
Telephone Number : 305-968-4474
Fax Number :
Provider Business Practice Location Address
First Line : 2201 S OCEAN DR
Second Line : 1001
City : HOLLYWOOD
State : FL
Zip : 33019-2539
Country : US
Telephone Number : 305-968-4474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2006
Last Update Date : 05/06/2011

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Directions to “ CAROL B. LIEBERMAN ARNP” Practice Location

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