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General NPI Number Information
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NPI Number | 1093072589
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Entity Type | Organization
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Legal Business Name | PERCY LEE NELSON DPM PA
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Dates
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Enumeration Date | 04/20/2012
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 2627 NE 203RD ST STE 100A
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City | AVENTURA
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State | FL
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Zip | 33180-1945
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Country | US
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Telephone | 305-466-9498
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Fax | 305-466-9698
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Provider Business Mailing Address
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Address Line | 2627 NE 203RD ST STE 100A
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City | AVENTURA
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State | FL
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Zip | 33180-1945
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Country | US
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Telephone | 305-446-9498
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PERCY LEE NELSON
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Credential | DPM
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Telephone | 305-466-9498
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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