Lieberman, Jay Alan

Lieberman, Jay Alan is an sole proprietor health care provider with primary practice located at 2964 N State Road 7 Suite 205, Margate FL 33063-5715. He recently has 3 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Lieberman, Jay Alan can be contacted via phone (954) 580-4080.

Contact Information

Primary practice address
2964 N State Road 7 Suite 205 Margate FL 33063-5715
Phone: (954) 580-4080
Fax: (954) 580-4081
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO0001449 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO0001449 Florida
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X PO0001449 Florida

Profile Details

NPI number 1316980568
LBN Legal business name Lieberman, Jay Alan
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 14th, 2006
Last updated Dec 26th, 2013 - about 11 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 1316980568 NPPES
Florida MEDICAID 0410667

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