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LIBERTY MEDICAL, LLC

>> Durable Medical Equipment & Medical Supplies >> Suppliers

Registrant NPI Number: 1407837206

Organizational Registrant:
Organization Name:  LIBERTY MEDICAL, LLC
Organization is Subpart
Authorized Official:  EDWARD  KUNZWEILER  DIRECTOR OF OPERATIONS  772--39-85870

Location and contact information for practice:
5249 NW 33RD AVE  FORT LAUDERDALE, FL 33309-6302 US
Tel: 866-245-1483  Fax: 844-574-3257

Contact information for business:
5249 NW 33RD AVE  FORT LAUDERDALE, FL 33309-6302 US
Tel: 866-245-1483  Fax: 844-574-3257

Registration Information:
NPI: 1407837206
Entity Type: Organization

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y332B00000XSuppliers
Durable Medical Equipment & Medical Supplies

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
0227348000WV05
130420741AR05
1407837206ID05
1407837206WA05
4581708TN05
7100202680KY05
DE1068SC05
1021921AK05
1407837206SD05
3860001RI05
S3736NM05
9485121-00MN05
113400100MD05
200118000BIN05
0332701-00DC05
100800030AOK05
1407837206UT05
1407837206NE05
2198009OH05
51437ND05




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