Active NPI
Paul R Liebman MD PA
- Vascular Surgery Physician
- West Palm Beach, FL
National Provider Identifier
1487707121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- ME038422
- Legal business name
- PAUL R LIEBMAN MD PA
- Practice address
- 1620 N Dixie Hwy
West Palm Beach, FL 33407-6502 - Phone
- (561) 833-0773
- Fax
- (561) 659-4830
- NPI assigned
- Jan 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Janet R Kozikowski
- Title
- Ofice MGR
- Phone
- (561) 833-0770
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | ME038422 | FL | Primary |
Addresses
Primary practice location
1620 N Dixie Hwy
West Palm Beach, FL 33407-6502
Mailing address
1620 N Dixie Hwy
West Palm Beach, FL 33407-6502
Phone (561) 833-0773
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1487707121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 N DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076502",
"telephone_number": "561-833-0773",
"fax_number": "561-659-4830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 N DIXIE HWY",
"city": "WEST PALM BEACH",
"state": "FL",
"postal_code": "334076502",
"telephone_number": "561-833-0773",
"fax_number": "561-659-4830"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAUL R LIEBMAN MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "KOZIKOWSKI",
"authorized_official_first_name": "JANET",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OFICE MGR",
"authorized_official_telephone_number": "561-833-0770",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": "FL",
"license": "ME038422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Palm Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.