1881698439 NPI number — LIBERATOR MEDICAL SUPPLY, INC.

Table of content: (NPI 1881698439)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1881698439 NPI number — LIBERATOR MEDICAL SUPPLY, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LIBERATOR MEDICAL SUPPLY, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1881698439
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/18/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 446
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
STUART
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34995-0446
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
800-323-0914
Provider Business Mailing Address Fax Number:
877-730-7796

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1823 SE AIRPORT RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
STUART
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34996-4012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-323-0914
Provider Business Practice Location Address Fax Number:
877-730-7796
Provider Enumeration Date:
06/10/2005

Additional Information

Authorized Official

Authorized Official Last Name:
TARIQ
Authorized Official First Name:
MOHAMMAD
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
800-323-0914

Provider Taxonomy Codes

  • Taxonomy code: 332B00000X , with the licence number:  HME372 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 027541700 , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".
  • Identifier: 2130872 . This is a "PK" identifier . This identifiers is of the category "OTHER".
  • Identifier: 027541700 . This is a "Florida Medicaid Provider ID" identifier , issued by the state of ( FL ) . This identifiers is of the category "MEDICAID".




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