Organization
COMPREHENSIVE FOOT & ANKLE SURGERY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LILY PAN-PERKINS DPM (OWNER)
(561) 799-9581
Entity
Organization
Contact information
Practice address
550 HERITAGE DR STE 140, JUPITER, FL 33458-3033
(561) 799-0857
Mailing address
550 HERITAGE DR STE 140, JUPITER, FL 33458-3033
(561) 799-0857
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2994
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340292400
—
FL
01
—
65791
BC/BS
FL
Enumeration date
11/12/2008
Last updated
08/09/2010
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