Liberator Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

HME372 Issued in FL

Legal business name

LIBERATOR MEDICAL SUPPLY, INC.

Doing business as

Liberator Medical Supply, Inc.

Practice address

1823 SE Airport Rd
Stuart, FL 34996-4012

Phone

(800) 323-0914

Fax

(877) 730-7796

NPI assigned

Jun 10, 2005

Organization subpart

Yes

Parent organization

LIBERATOR MEDICAL HOLDINGS, INCAs reported in NPPES

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

Authorized official

Name

Robert Emerson

Title

Vice President

Phone

(800) 323-0914

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Liberator Medical Supply, Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

• Tri-County Medical & Ostomy Supplies, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Johnson City, TN
  • NPI 1508869918

  Member Of

  NPD member

Locations

Networks

• Optimum HealthCare HMO NetworkPlans: Optimum Diamond Rewards (HMO C-SNP) (H5594-028-000, H5594); Optimum Diamond (HMO C-SNP) (H5594-036-000, H5594); Optimum Diamond Rewards (HMO C-SNP) (H5594-034-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-029-000, H5594); Optimum Platinum Plan (HMO) (H5594-002-000, H5594); Optimum Gold Plus Plan (HMO) (H5594-032-000, H5594); Optimum Diamond Savings COPD (HMO C-SNP) (H5594-031-000, H5594); Optimum Diamond Savings (HMO C-SNP) (H5594-030-000, H5594); Optimum Diamond Rewards COPD (HMO C-SNP) (H5594-035-000, H5594)
• Freedom Health HMO NetworkPlans: Freedom Platinum Rewards Plan Rx (HMO) (H5427-102-000, H5427); Freedom VIP Care (HMO C-SNP) (H5427-070-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-108-000, H5427); Freedom VIP Rewards (HMO C-SNP) (H5427-099-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-107-000, H5427); Freedom Maximo (HMO-POS) (H5427-113-000, H5427); Freedom Savings Plan (HMO) (H5427-052-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-096-000, H5427); Freedom Platinum Rewards Plan Rx (HMO) (H5427-105-000, H5427); Freedom Medi-Medi Full (HMO D-SNP) (H5427-087-000, H5427)…

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772409600000",
    "number": "1881698439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 446",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349950446",
            "telephone_number": "800-323-0914",
            "fax_number": "877-730-7796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1823 SE AIRPORT RD",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349964012",
            "telephone_number": "800-323-0914",
            "fax_number": "877-730-7796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERATOR MEDICAL SUPPLY, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIBERATOR MEDICAL HOLDINGS, INC",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A",
        "authorized_official_last_name": "EMERSON",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "800-323-0914"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "FL",
            "license": "HME372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "027541700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PK",
            "identifier": "2130872",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Liberator Medical Supply, Inc.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Liberator Medical Supply, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Paul A Lewis, CRNA
• Sami-Jo A Lewis, APRN
• Sharon Lewis, CNA
• Tiffany Leann Lewis
• Liberator Medical Supply, Inc.
• Anthony Joseph Liberatore, MD
• Liberty Wellness Consultants LLC
• Michele F Libman, M.D.
• Michelle Libowitz
• Life Thrive Solutions LLC

• Durable Medical Equipment & Medical Supplies in Stuart, FL
• Providers in Stuart, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.