Healthcare Provider Details

I. General information

NPI: 1538570023
Provider Name (Legal Business Name): PERFECTFEETCARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2014
Last Update Date: 03/13/2023
Certification Date: 03/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4410 W 16TH AVE STE 49
HIALEAH FL
33012-7193
US

IV. Provider business mailing address

4410 W 16TH AVE SUITE 53
HIALEAH FL
33012-7100
US

V. Phone/Fax

Practice location:
  • Phone: 305-558-7437
  • Fax: 305-558-1881
Mailing address:
  • Phone: 305-558-7437
  • Fax: 305-558-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License NumberPO 3381
License Number StateFL

VIII. Authorized Official

Name: DR. JULIETTE PEREZ
Title or Position: PRESIDENT
Credential: DPM
Phone: 305-558-7437