NPI 1609864990
Liberty Medical, LLC
Practice location
- Address
- 89 Main Street Suite 204, Milford, MA 01757-3141
- Phone
- (866) 202-2420
- Fax
- (844) 363-4341
- Mailing address
- 8881 S US Highway 1 Attn: Licensing Department, Port St Lucie, FL 34952-3401
Authorised official
- Name
- Jonathan Black
- Title
- President
- Phone
- (772) 398-2122
Registered specialties
Durable Medical Equipment & Medical Supplies
Primary
Registry record
- NPI
- 1609864990
- Entity type
- Organization
- NPI issued
- 11 Oct 2005
- Record last updated
- 23 Mar 2018
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.