Most Relevant Information
Provider Data
| NPI Number: | 1003274606 |
| Provider Name: | MIRIT HAZAN LIEBMAN |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT30064 |
Most Important Dates
| Enumeration Date: | 02/10/2016 |
| Last Updated: | 01/16/2020 |
Provider Practice Location
5400 S UNIVERSITY DR STE 603
DAVIE
FL
333285314
Practice Location Phone/Fax
| Phone: | 9549002942 |
| Fax: | 9544513948 |
Provider Mailing Location
5400 S UNIVERSITY DR STE 603
DAVIE
FL
333285314
Provider Mailing Phone/Fax
| Phone: | 9549002942 |
| Fax: | 9544513948 |