Individual provider Active NPI

Julio Daniel Perez-Mustelier, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fort Myers, FL
National Provider Identifier
1972095560
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO4152 Issued in FL
Practice address
12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370
Phone
(239) 482-2663
Fax
(239) 482-7585
NPI assigned
May 31, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X PO4152 FL Primary

Addresses

Primary practice location

12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370

Mailing address

12670 Creekside LN Ste 202
Fort Myers, FL 33919-3370
Phone (239) 985-3322

Other practice location 1

2815 S Seacrest Blvd
Boynton Beach, FL 33435-7969
Phone (561) 737-7733

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210520002049 FL Practitioner - Podiatry 5597164749 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians
David Braun MD PLLCGroup PAC ID 7113280686, 2 clinicians
Sports and Orthopedic Rehabilitation Services IncGroup PAC ID 0840104253, shared by 4 NPIs, 314 clinicians

Practice addresses (Care Compare)

1840 Mease Dr
Safety Harbor, FL 34695-6606

2044 Trinity Oaks Blvd
Suite 125
Trinity, FL 34655-4405
Phone (727) 372-2501

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409

2461 Enterprise Rd
Suite C
Clearwater, FL 33763-1726
Phone (727) 725-5060

3231 McMullen Booth Rd
Safety Harbor, FL 34695-6607
Phone (727) 725-6526

4820 Park Blvd N
Suite 1
Pinellas Park, FL 33781-3534
Phone (727) 209-6677

5347 Main St
Suite 202
New Port Richey, FL 34652-2520
Phone (727) 841-0515

6600 Madison St
Suite 2
New Port Richey, FL 34652-1971
Phone (727) 815-7207

6633 Forest Ave
New Port Richey, FL 34653-2612

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue28
Removal of nail tissue13
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David Braun MD PLLC CurrentSince Jun 1, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Orthopedic Center of Florida, Inc CurrentSince Jul 1, 2021 Accepting new patients
Orthopedic Center of Florida, Inc CurrentSince Jul 1, 2021 Accepting new patients
Transitions Healthcare LLC CurrentSince Oct 27, 2023 Accepting new patients
Baycare Medical Group, Inc. CurrentSince Feb 9, 2026 Accepting new patients
Baycare Medical Group, Inc CurrentSince Feb 9, 2026 Accepting new patients
Bay Area Orthopaedic Specialists LLC Past Accepting new patients

Locations

15500 Roosevelt Blvd
Ste 101
Clearwater, FL 33760
Phone (727) 214-4622

12670 Creekside Ln
Ste 202
Fort Myers, FL 33919
Phone (239) 267-2263

3180 Curlew Rd
Unit 101
Oldsmar, FL 34677
Phone (727) 464-2867

4820 Park Blvd N
Ste 1
Pinellas Park, FL 33781
Phone (727) 209-6677

2102 Trinity Oaks Blvd
Ste 202
Trinity, FL 34655
Phone (727) 462-2131

Interoperability endpoints

  • Direct secure messaging: jperezmustelier394009@orlandohealth.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJHCBD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1972095560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12670 CREEKSIDE LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193370",
            "telephone_number": "239-985-3322",
            "fax_number": "239-689-3625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12670 CREEKSIDE LN STE 202",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339193370",
            "telephone_number": "239-482-2663",
            "fax_number": "239-482-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2815 S Seacrest Blvd",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334357969",
            "country_code": "US",
            "telephone_number": "561-737-7733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-MUSTELIER",
        "first_name": "JULIO",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO4152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.