MEDICARE: DR. LIMPERIS P.A.

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	103TC0700X	Clinical Psychologist	PY6611	FL
2	213E00000X	Podiatrist	PO3087	FL

General Provider Information

NPI Number	:	1508990870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. LIMPERIS P.A.

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	:	954-776-1188
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	:	954-776-1188
Fax Number	:	954-533-5625

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. WILLIAM ANTHONY LIMPERIS
Credential	:	D.P.M.
Telephone Number	:	954-776-1188

Provider Enumeration Date	:	03/16/2007
Last Update Date	:	08/05/2024

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