Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO2514 | FL |
NPI | 1245271386 |
---|---|
Provider Name | Dr. Melissa Perlman |
First Address | Davie, FL 33330-1620 |
Second Address | Pembroke Pines, FL 33024-3611 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2006 |
Last Update Date | 18/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0477010001 | CIGNA GOVERNMENT SERVICES (01) | FL |
U64691 | (02) | FL |