MEDICARE: JERRY PERLMUTTER D P M P A

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	PO1173	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740459494
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JERRY PERLMUTTER D P M P A

Provider Business Mailing Address
First Line	:	5800 COLONIAL DR
Second Line	:	SUITE 203
City	:	MARGATE
State	:	FL
Zip	:	33063-5674
Country	:	US
Telephone Number	:	954-974-0494
Fax Number	:	954-972-4498

Provider Business Practice Location Address
First Line	:	5800 COLONIAL DR
Second Line	:	SUITE 203
City	:	MARGATE
State	:	FL
Zip	:	33063-5674
Country	:	US
Telephone Number	:	954-974-0494
Fax Number	:	954-972-4498

Authorized Official
Title or Position	:	DR OWNER
Name	:	DR. JERRY MARTIN PERLMUTTER
Credential	:	DPM
Telephone Number	:	954-974-0494

Provider Enumeration Date	:	02/27/2008
Last Update Date	:	01/27/2009

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