Lieberman, Gary J

Lieberman, Gary J is an individual health care provider with primary practice located at 400 N Hiatus Rd Suite 105, Pembroke Pines FL 33026-5214. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Lieberman, Gary J can be contacted via phone (954) 431-8000.

Contact Information

Primary practice address
400 N Hiatus Rd Suite 105 Pembroke Pines FL 33026-5214
Phone: (954) 431-8000
Fax: (954) 436-0449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME34672 Florida

Profile Details

NPI number 1063495075
LBN Legal business name Lieberman, Gary J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Oct 8th, 2013 - about 12 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 1063495075 NPPES
Florida MEDICAID 066953900

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