DR. JEFFREY LISS D.P.M. NPI 1154337012

NPI Information

  • NPI: 1154337012
  • Provider Name: DR. JEFFREY LISS, D.P.M.
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • Address: 211 SE 12TH AVE
    FORT LAUDERDALE, FL
    ZIP 33301
  • Phone: (954) 462-4322

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NPI Details

DR. Jeffrey Liss, D.P.M. is a foot and ankle surgery podiatrist in Fort Lauderdale, FL. DR. Jeffrey Liss, D.P.M. NPI is 1154337012. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

211 SE 12TH AVE
FORT LAUDERDALE, FL
ZIP 33301-637
Phone: (954) 462-4322
Fax: (954) 467-3338

The enumeration date for this NPI number is 7/31/2006 and was last updated on 7/29/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0000XPodiatristSports MedicinePO1197FLORIDANo
2213ES0103XPodiatristFoot & Ankle SurgeryPO1197FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
187640MEDICARE ID-TYPE UNSPECIFIEDFLORIDA
2029616300MEDICAIDFLORIDA
3T55484MEDICARE UPINFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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