Lieberman, Dean

Lieberman, Dean is an individual health care provider with primary practice located at 5507 S Congress Ave Suite 150, Atlantis FL 33462-1139. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Lieberman, Dean can be contacted via phone (561) 433-4444.

Contact Information

Primary practice address
5507 S Congress Ave Suite 150 Atlantis FL 33462-1139
Phone: (561) 433-4444
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 9100994 Florida

Profile Details

NPI number 1407864143
LBN Legal business name Lieberman, Dean
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated May 18th, 2009 - about 15 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 1407864143 NPPES
Florida MEDICAID 290660100

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