MEDICARE: DR. VARISA BORIBOON PERLMAN M.D.

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	208000000X	Pediatrics Physician	ME110041	FL

General Provider Information

NPI Number	:	1235224221
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. VARISA BORIBOON PERLMAN M.D.

Provider Business Mailing Address
First Line	:	975 ARTHUR GODFREY RD
Second Line	:	SUITE 408
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3329
Country	:	US
Telephone Number	:	305-672-7337
Fax Number	:	305-672-6665

Provider Business Practice Location Address
First Line	:	975 ARTHUR GODFREY RD
Second Line	:	SUITE 408
City	:	MIAMI BEACH
State	:	FL
Zip	:	33140-3329
Country	:	US
Telephone Number	:	305-672-7337
Fax Number	:	305-672-6555

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/04/2006
Last Update Date	:	07/08/2011

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