MEDICARE: DR. LEON PERRY PERLSTEIN DPM

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	213E00000X	Podiatrist	PO3054	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1821087180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEON PERRY PERLSTEIN DPM

Provider Business Mailing Address
First Line	:	2520 MARINA BAY DR E
Second Line	:	SUITE 104
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-2320
Country	:	US
Telephone Number	:	786-315-1111
Fax Number	:	754-200-6057

Provider Business Practice Location Address
First Line	:	5961 NW 61ST AVE APT 101
Second Line	:
City	:	TAMARAC
State	:	FL
Zip	:	33319-2217
Country	:	US
Telephone Number	:	754-666-3338
Fax Number	:	754-200-6057

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

Provider Enumeration Date	:	10/19/2005
Last Update Date	:	02/06/2019

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