Performspecialty, Llc

LBN: Performspecialty, Llc
Performspecialty, Llc is an health care organization with primary practice located at 2416 Lake Orange Dr Sutie 190, Orlando FL 32837-7812. The organization recently has only one registered license in Suppliers / Specialty Pharmacy, which is considered as the primary health care specialty. Performspecialty, Llc can be contacted via phone (407) 956-1220, or through Tootle, Robert E via phone (215) 937-8561.

Contact Information

Primary practice address
2416 Lake Orange Dr Sutie 190 Orlando FL 32837-7812
Phone: (407) 956-1220
Fax: (844) 489-9565
Website:
Map and Directions
Authorized official contact:
Name: Tootle, Robert E
Phone: (215) 937-8561

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X

Profile Details

NPI number 1437562642
LBN Legal business name Performspecialty, Llc
DBA Doing business as
Authorized official Tootle, Robert E
Entity Organization
Organization subpart 1 No
Enumeration date Jun 5th, 2014
Last updated Aug 19th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437562642 NPPES
Florida MEDICAID 012043200
Florida MEDICAID 1029314380001

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