Liberty Medical, Llc

LBN: Liberty Medical, Llc
Liberty Medical, Llc is an health care organization with primary practice located at 8881 Liberty Ln , Port Saint Lucie FL 34952-3477. The organization recently has only one registered license in Suppliers / Mail Order Pharmacy, which is considered as the primary health care specialty. Liberty Medical, Llc can be contacted via phone (800) 491-3276, or through Black, Jonathan via phone (772) 398-5800.

Contact Information

Primary practice address
8881 Liberty Ln Port Saint Lucie FL 34952-3477
Phone: (800) 491-3276
Fax: (877) 592-8466
Website:
Map and Directions
Authorized official contact:
Name: Black, Jonathan
Phone: (772) 398-5800

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Mail Order Pharmacy 3336M0002X PH28876 Florida

Profile Details

NPI number 1649413832
LBN Legal business name Liberty Medical, Llc
DBA Doing business as
Authorized official Black, Jonathan
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 17th, 2009
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649413832 NPPES
Other 1045118 NCPDP
Other PH28876 NCPDP

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