Healthcare Provider Details

I. General information

NPI: 1952421604
Provider Name (Legal Business Name): BRUCE ALAN PERLMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3001 NW 49TH AVE SUITE 206
LAUDERDALE LAKES FL
33313-7266
US

IV. Provider business mailing address

3001 NW 49TH AVE SUITE 206
LAUDERDALE LAKES FL
33313-7266
US

V. Phone/Fax

Practice location:
  • Phone: 954-777-2022
  • Fax: 954-777-2021
Mailing address:
  • Phone: 954-777-2022
  • Fax: 954-777-2021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME63641
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License NumberME63641
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: