NPI 1053899526

Liberty Dental Plan of Florida, INC.

Organisation Health Maintenance Organization Tampa, FL

Practice location

Address: 3109 W Dr Martin Luther King Jr Blvd STE 100, Tampa, FL 33607-6219
Phone: (888) 703-6999
Mailing address: 1730 Flight Way STE 125, Tustin, CA 92782-1828

Authorised official

Name: Marzena Fercz
Title: Chief Compliance Officer
Phone: (888) 703-6999

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1053899526
Entity type: Organization
NPI issued: 6 Aug 2018
Record last updated: 3 Dec 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.