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

NPI Information

NPI: 1154337012
Provider Name: DR. JEFFREY LISS, D.P.M.
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Address:
211 SE 12TH AVE
FORT LAUDERDALE, FL
ZIP 33301
Phone: (954) 462-4322
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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
1	213ES0000X	Podiatrist	Sports Medicine	PO1197	FLORIDA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO1197	FLORIDA	Yes

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
1	87640	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
2	029616300	MEDICAID	FLORIDA
3	T55484	MEDICARE UPIN	FLORIDA

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: 11/14/2023

NPI Synchronization or Removal

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