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Individual
DR. JEFFREY LISS
Active
Individual
DR. JEFFREY LISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213ES0000X
Sports Medicine Podiatrist
PO1197
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO1197
FL
Other
Enumeration date
07/31/2006
Last updated
07/29/2010
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