Performspecialty, Llc

LBN: Performspecialty, Llc
Performspecialty, Llc is an health care organization with primary practice located at 2416 Lake Orange Dr Suite 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 via phone (215) 937-8561.

Contact Information

Primary practice address
2416 Lake Orange Dr Suite 190 Orlando FL 32837-7812
Phone: (407) 956-1220
Fax: (407) 738-4802
Website:
Map and Directions
Authorized official contact:
Name: Tootle, Robert
Phone: (215) 937-8561

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Specialty Pharmacy 3336S0011X PS28204 Florida

Profile Details

NPI number 1558759266
LBN Legal business name Performspecialty, Llc
DBA Doing business as
Authorized official Tootle, Robert
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 5th, 2015
Last updated Jan 5th, 2015 - about 9 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 1558759266 NPPES
Florida MEDICAID 012043200
Florida MEDICAID 1029314380001

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