| Liberty First Health | |
|
11882 Granite Woods Loop Venice FL 34292-4116 | |
| (941) 416-8781 | |
| (941) 214-9709 |
| Full Name | Liberty First Health |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 11882 Granite Woods Loop, Venice, Florida |
| Authorized Official Name and Position | Travis L Prachar (OWNER) |
| Authorized Official Contact | 9417772775 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Liberty First Health 11882 Granite Woods Loop Venice FL 34292-4116 Ph: (941) 416-8781 | Liberty First Health 11882 Granite Woods Loop Venice FL 34292-4116 Ph: (941) 416-8781 |
| NPI Number | 1982369401 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 11/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982369401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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