Lieb, Douglas Frederick

Lieb, Douglas Frederick is an sole proprietor health care provider with primary practice located at 1053 Medical Center Dr Suite 251, Orange City FL 32763-8260. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Lieb, Douglas Frederick can be contacted via phone (386) 456-0210.

Contact Information

Primary practice address
1053 Medical Center Dr Suite 251 Orange City FL 32763-8260
Phone: (386) 456-0210
Fax: (386) 456-0219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME82424 Florida

Profile Details

NPI number 1386673994
LBN Legal business name Lieb, Douglas Frederick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Dec 16th, 2016 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386673994 NPPES
Florida MEDICAID 261933400

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