Colombo, Liberto
Colombo, Liberto is an sole proprietor health care provider with primary practice located at 9063 Starpass Dr , Jacksonville FL 32256-5472. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Aerospace Medicine, Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Occupational Medicine. Allopathic & Osteopathic Physicians / Occupational Medicine is his primary health care specialty. Colombo, Liberto can be contacted via phone (850) 529-0040.Contact Information
Primary practice address
9063 Starpass Dr
Jacksonville FL 32256-5472
Phone: (850) 529-0040
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Aerospace Medicine | 2083A0100X | OS7279 | Florida |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | OS7279 | Florida |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | OS7279 | Florida |
Profile Details
| NPI number | 1801871827 |
|---|---|
| LBN Legal business name | Colombo, Liberto |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Nov 17th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801871827 | NPPES |
| Florida | Other | 59168672 | BSAL |
| Florida | Other | 57445 | BSAL |
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