Provider Demographics
NPI:1841224425
Name:LIMPERIS, WILLIAM A (DPM)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:A
Last Name:LIMPERIS
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2001 NE 48TH CT STE 2
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-4512
Mailing Address - Country:US
Mailing Address - Phone:954-776-1188
Mailing Address - Fax:954-772-0891
Practice Address - Street 1:2001 NE 48 CT STE 2
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-4512
Practice Address - Country:US
Practice Address - Phone:954-776-1188
Practice Address - Fax:954-772-0891
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3087213EP1101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213EP1101XPodiatric Medicine & Surgery Service ProvidersPodiatristPrimary Podiatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5014600001Medicare NSC
FLU97039Medicare UPIN
FL65813YMedicare ID - Type Unspecified