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NPI Code Detail

MEDICARE: DR. JANET LYNN LIMPERIS PSY.D.

MEDICARE:  DR. JANET LYNN LIMPERIS  PSY.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
1103TC0700XClinical PsychologistPY6611FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
173112OTHERFLBLUE CROSS/BLUE SHIELD NP

General Provider Information

NPI Number : 1487681763
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET LYNN LIMPERIS PSY.D.
Provider Business Mailing Address
First Line : 2480 E COMMERCIAL BLVD STE 1
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4025
Country : US
Telephone Number : 954-609-6857
Fax Number : 954-533-5625
Provider Business Practice Location Address
First Line : 2480 E COMMERCIAL BLVD STE 1
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33308-4025
Country : US
Telephone Number : 954-609-6857
Fax Number : 954-533-5625
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/26/2006
Last Update Date : 08/07/2024

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