Healthcare Provider Details

I. General information

NPI: 1497942163
Provider Name (Legal Business Name): BRUCE A. PERLMAN, M.D., P.A.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2007
Last Update Date: 10/10/2007
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 TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. BRUCE ALAN PERLMAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 954-777-2022