| Entity Name: | MARC E LIEBERMAN MD, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 15 Oct 2020 (4 years ago) |
| Document Number: | L20000327005 |
| FEI/EIN Number | 85-3701120 |
| Address: | 1600 36TH STREET, VERO BEACH, FL, 32960 |
| Mail Address: | 1600 36TH STREET, VERO BEACH, FL, 32960 |
| ZIP code: | 32960 |
| County: | Indian River |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104420801 | 2020-11-24 | 2020-11-24 | 1600 36TH ST STE A, VERO BEACH, FL, 329604875, US | 1600 36TH ST STE A, VERO BEACH, FL, 329604875, US | |||||||||||||||
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| Phone | +1 772-569-7800 |
| Fax | 7725699252 |
Authorized person
| Name | MARC E LIEBERMAN |
| Role | PHYSICIAN |
| Phone | 7725697800 |
Taxonomy
| Taxonomy Code | 207YX0905X - Otolaryngology/Facial Plastic Surgery Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| GARRIS CHARLES E | Agent | 819 BEACHLAND BOULEVARD, VERO BEACH, FL, 32963 |
| Name | Role | Address |
|---|---|---|
| LIEBERMAN MARC E | Manager | 1600 36TH STREET, VERO BEACH, FL, 32960 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-04 |
| ANNUAL REPORT | 2023-04-25 |
| ANNUAL REPORT | 2022-03-22 |
| ANNUAL REPORT | 2021-03-25 |
| Florida Limited Liability | 2020-10-15 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
