LIBERTY PHYSICIANS ASSOCIATES INC NPI 1376181446

NPI Information

NPI: 1376181446
Provider Name: LIBERTY PHYSICIANS ASSOCIATES INC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

CLIA Number: 10D2260538

Address:
1250 W STATE ROAD 434 STE 1016
LONGWOOD, FL
ZIP 32750
Phone: (833) 438-0008
Get Directions

LIBERTY PHYSICIANS ASSOCIATES INC is a multi-specialty clinic center in Longwood, FL. LIBERTY PHYSICIANS ASSOCIATES INC NPI is 1376181446. The provider is registered as an organization entity type.

The provider's business location address is:

1250 W STATE ROAD 434 STE 1016
LONGWOOD, FL
ZIP 32750-969
Phone: (833) 438-0008

The provider's authorized official is Oladimeji J Adekunle .
The authorized official title is Managing Director and has the following contact phone number (833) 438-0008.

The CLIA number assigned to this NPI record is 10D2260538 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2019 and was last updated on 12/19/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM1300X	Clinic/Center	Multi-Specialty			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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