Liss, Jeffrey

Liss, Jeffrey is an sole proprietor health care provider with primary practice located at 211 Se 12Th Ave , Fort Lauderdale FL 33301-3637. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Sports Medicine, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Liss, Jeffrey can be contacted via phone (954) 462-4322.

Contact Information

Primary practice address
211 Se 12Th Ave Fort Lauderdale FL 33301-3637
Phone: (954) 462-4322
Fax: (954) 467-3338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X PO1197 Florida
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X PO1197 Florida

Profile Details

NPI number 1154337012
LBN Legal business name Liss, Jeffrey
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 29th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154337012 NPPES
Florida MEDICAID 029616300

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