Provider Demographics
NPI:1497942163
Name:BRUCE A. PERLMAN, M.D., P.A.
Entity Type:Organization
Organization Name:BRUCE A. PERLMAN, M.D., P.A.
Other - Org Name:BROWARD ARRHYTHMIA PHYSICIANS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:PERLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-777-2022
Mailing Address - Street 1:3001 NW 49TH AVE
Mailing Address - Street 2:SUITE 206
Mailing Address - City:LAUDERDALE LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:33313-7266
Mailing Address - Country:US
Mailing Address - Phone:954-777-2022
Mailing Address - Fax:954-777-2021
Practice Address - Street 1:3001 NW 49TH AVE
Practice Address - Street 2:SUITE 206
Practice Address - City:LAUDERDALE LAKES
Practice Address - State:FL
Practice Address - Zip Code:33313-7266
Practice Address - Country:US
Practice Address - Phone:954-777-2022
Practice Address - Fax:954-777-2021
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-26
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K9057Medicare PIN