Liberty Mikelatos

Primary specialty

PharmacistTaxonomy code 183500000X

License

PS18465 Issued in FL

Practice address

1501 S Federal Hwy
Pompano Beach, FL 33062-7512

Phone

(954) 788-0739

NPI assigned

Dec 17, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608163200000",
    "number": "1689260259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627512",
            "telephone_number": "954-788-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S FEDERAL HWY",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627512",
            "telephone_number": "954-788-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKELATOS",
        "first_name": "LIBERTY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS18465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Atlantic Bureau of Recovery and Sobriety
• Jeffrey Allen Middleton, D.C.
• Amide Sai Midy
• Gina Miele
• Vernise Miguel
• Mikhail Daya DMD PA
• Orlando Antonio Milan, M.D.
• Melissa Widney Mildort
• Ben Aaron Miller, L.AC., A.P.
• Benjamin Remond Miller, LMHC

• Pharmacist in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Pharmacist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.

Verify at the official NPI Registry.