| Organization Name: | LIEBERMAN PARKINSON CLINIC |
| NPI Number: | 1689613465 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ABRAHAM NATHAN LIEBERMAN (CEO/PRESIDENT) |
| Mailing Address: | 1440 J F Kennedy Cswy Suite 102 North Bay Village |
| State: | FL US |
| Postal Code: | 331414130 |
| Phone Number: | 3054034773 |
| Fax Number: | 3054034776 |
| NPI Enumeration Date: | 06/06/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | ME78796 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |