| Organization Name: | LIBERTY MEDICAL CENTER INC |
| NPI Number: | 1043346406 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALBERTO Y MARTINEZ (PRESIDENT) |
| Mailing Address: | 8181 Nw 36th St Ste 28 Doral |
| State: | FL US |
| Postal Code: | 331666671 |
| Phone Number: | 3053220707 |
| Fax Number: | 3055133382 |
| NPI Enumeration Date: | 02/27/2007 |
| NPI Last Update Date: | 08/30/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QX0100X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Occupational Medicine |
| Taxonomy Definition: | |