DR. JEFFREY LISS (NPI# 1154337012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154337012 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY LISS |
| Credential | D.P.M. |
| Practice Address |
211 Se 12th Ave Fort Lauderdale FL 33301-3637 |
| Practice Telephone | 9544624322 |
| Practice Fax Number | 9544673338 |
| Mailing Telephone | 9544624322 |
| Mailing Fax Number | 9544673338 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2010-07-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213ES0000X |
Podiatrist Specialization: Sports Medicine |
PO1197 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
PO1197 | FL | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 029616300 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558640110 | Jeffrey I Liss | Pharmacist | 3793 S Main St, Farmville, NC 27828-8546 | 2011-08-12 |
| Street Address |
211 SE 12TH AVE |
| City | FORT LAUDERDALE |
| State | FL |
| Zip Code | 33301-3637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568074284 | Sergio Francisco Galvez Leiva | Massage Therapist | 311 Se 15 Avenue, 5, Fort Lauderdale, FL 33301 | 2020-08-24 |
| 1083248355 | Aaidebook Inc | In Home Supportive Care | 501 East Olas Blvd., Suite 300 Office 337, Fort Lauderdale, FL 33301 | 2020-02-26 |
| 1962995845 | Primary Care Specialist of South Florida Pa | Internal Medicine | 20200 W Dixie High Way, 1108, Aventura, FL 33301 | 2018-06-14 |
| 1356877047 | Samaritan Counseling Center | Community Based Residential Treatment Facility, Mental Illness | 101 Se 3rd Avenue, Fort Lauderdale, FL 33301 | 2017-05-02 |
| 1093263956 | Lindsay Elizabeth Halas | Speech-Language Pathologist | 533 Ne 3rd Ave Apt 337, Fort Lauderdale, FL 33301 | 2016-09-20 |
| 1568842433 | Elaina Williams | Behavioral Analyst | 333 Las Olas Way # Cu1, Fort Lauderdale, FL 33301 | 2015-06-04 |
| 1598144057 | Cynthia I Pepper | Occupational Therapist | 440 Ne 4th Ave Unit 722, Fort Lauderdale, FL 33301 | 2015-05-29 |
| 1972900629 | Marquita Rucker | Counselor | 790 East Broward Blvd., Suite 400, Ft. Lauderdale, FL 33301 | 2014-11-24 |
| 1932502879 | Martha Bouza | Obstetrics & Gynecology | 609 Isle of Palms Drive, Fort Lauderdale, FL 33301 | 2014-10-07 |
| 1891117016 | Sara Jimenez | Social Worker | 401 Ne 4th Steret, Ft.lauderdale, FL 33301 | 2014-01-07 |
| Find all providers in zip 33301 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013449263 | Certified Foot & Ankle Specialists | Podiatrist | 4750 N Federal Hwy Ste 200, Fort Lauderdale, FL 33308-4609 | 2017-03-28 |
| 1629604913 | Comprehensive Md LLC | Podiatrist | 1301 E Broward Blvd Ste 220, Fort Lauderdale, FL 33301-2111 | 2020-03-18 |
| 1821557596 | Segall Foot & Ankle Inc | Podiatrist | 4800 Ne 20th Ter Ste 303, Fort Lauderdale, FL 33308-4510 | 2019-03-13 |
| 1841588779 | Nooshin Zolfaghari D.p.m., P.a. | Podiatrist | 2699 Stirling Rd, Suite A, Fort Lauderdale, FL 33312-6517 | 2011-07-12 |
| 1104121870 | Nooshin Zolfaghari | Podiatrist | 2699 Stirling Rd, Suite A301, Fort Lauderdale, FL 33312-6517 | 2011-01-11 |
| 1104053750 | Robert Nguyen Dpm LLC | Podiatrist | 2699 Stirling Rd, Suite A301/302, Fort Lauderdale, FL 33312-6517 | 2009-06-22 |
| 1588848949 | Dr. Peter S. Galati, Dpm, Pa | Podiatrist | 4146 N Federal Hwy, Fort Lauderdale, FL 33308-5531 | 2007-12-20 |
| 1013038272 | Imperial Point Podiatry Assoc Inc | Podiatrist | 6405 N Federal Hwy, Suite 405, Fort Lauderdale, FL 33308-1412 | 2007-04-03 |
| 1730239575 | Phillip D.decubellis Pa | Podiatrist | 2828 E Commercial Blvd, Fort Lauderdale, FL 33308-4206 | 2007-01-12 |
| 1871573261 | Cynthia C Mcdonald | Podiatrist | 6405 N Federal Hwy, Suite 405, Fort Lauderdale, FL 33308-1412 | 2006-01-20 |
| Find all providers in FORT LAUDERDALE | ||||
| City | FORT LAUDERDALE |
| Zip Code | 33301 |
Please comment or provide details below to improve the information on DR. JEFFREY LISS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.