MEDICARE: LEON P. PERLSTEIN, DPM, PA

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

General Provider Information

NPI Number	:	1992108948
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEON P. PERLSTEIN, DPM, PA

Provider Business Mailing Address
First Line	:	727 2ND ST
Second Line	:	APT 1
City	:	MIAMI BEACH
State	:	FL
Zip	:	33139-7045
Country	:	US
Telephone Number	:
Fax Number	:

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	:	DOCTOR
Name	:	DR. LEON PERRY PERLSTEIN
Credential	:	DPM
Telephone Number	:	786-315-1111

Provider Enumeration Date	:	10/06/2014
Last Update Date	:	02/06/2019

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