Active NPI
Liberty Medical Response Inc
- Durable Medical Equipment & Medical Supplies
- Port St Lucie, FL
National Provider Identifier
1720240815
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- License
- 130332/081051650
- Legal business name
- LIBERTY MEDICAL RESPONSE INC
- Practice address
- 8883 Liberty LN
Suite 150
Port St Lucie, FL 34952-3477 - Phone
- (772) 398-5800
- Fax
- (772) 398-2192
- NPI assigned
- Jun 30, 2008
- Organization subpart
- Yes
- Parent organization
- LIBERTY MEDICAL SUPPLY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Keith Jones
- Title
- President and Director
- Phone
- (773) 398-5800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | 130332/081051650 | FL | Primary |
Addresses
Primary practice location
8883 Liberty LN
Suite 150
Port St Lucie, FL 34952-3477
Mailing address
PO Box 841863
Dallas, TX 75284-1863
Phone (772) 398-5800
National Provider Directory
National Provider Directory- Part of
- Liberty Medical LLC
Locations
8883 S US Highway 1
Ste 150
Port St Lucie, FL 34952
Phone (772) 398-5800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1235520000000",
"number": "1720240815",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841863",
"city": "DALLAS",
"state": "TX",
"postal_code": "752841863",
"telephone_number": "772-398-5800",
"fax_number": "772-398-2192"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8883 LIBERTY LN",
"address_2": "SUITE 150",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349523477",
"telephone_number": "772-398-5800",
"fax_number": "772-398-2192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY MEDICAL RESPONSE INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LIBERTY MEDICAL SUPPLY INC",
"enumeration_date": "2008-06-30",
"last_updated": "2009-02-25",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "PRESIDENT AND DIRECTOR",
"authorized_official_telephone_number": "773-398-5800"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "FL",
"license": "130332/081051650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.