Provider Demographics
NPI:1134412760
Name:LIEBERMAN, SCOTT MITCHELL (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MITCHELL
Last Name:LIEBERMAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8600 SW 92ND ST STE 204A
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33156-7377
Mailing Address - Country:US
Mailing Address - Phone:305-436-9933
Mailing Address - Fax:305-436-9944
Practice Address - Street 1:2825 N STATE ROAD 7 STE 305
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-5737
Practice Address - Country:US
Practice Address - Phone:954-442-8126
Practice Address - Fax:954-659-5425
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2020-10-20
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Provider Licenses
StateLicense IDTaxonomies
FLME122868207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease