Liberty Medical
LBN: Premise Health Of Florida Medical, P.A.
Liberty Medical is an health care organization with primary practice located at 10400 S Us Highway 1 , Port Saint Lucie FL 34952-5600. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Premise Health Of Florida Medical, P.A. can be contacted via phone (772) 398-5651, or through Leizman, Jon via phone (216) 479-9063.
Contact Information
Primary practice address
10400 S Us Highway 1
Port Saint Lucie FL 34952-5600
Phone: (772) 398-5651
Fax: (772) 337-4971
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1780951509 |
|---|---|
| LBN Legal business name | Premise Health Of Florida Medical, P.A. |
| DBA Doing business as | Liberty Medical |
| Authorized official | Leizman, Jon Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 22nd, 2011 |
| Last updated | Aug 15th, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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