Individual provider · Type 1 NPI
Jeffrey Liss, D.P.M.
Foot & Ankle Surgery Podiatrist · Fort Lauderdale, FL
NPI number
1154337012
Active
Practice location
211 SE 12th Ave
Fort Lauderdale, FL 33301-3637
Fax (954) 467-3338
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Sports Medicine Podiatrist | 213ES0000X | PO1197 (FL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO1197 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1154337012
Jeffrey Liss, D.P.M.'s National Provider Identifier is 1154337012, issued on Jul 31, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jul 29, 2010.