Pro Performance Anti Aging and Pharmaceutical Supplementation LLC
Pro Performance Anti Aging and Pharmaceutical Supplementation LLC is a Sports Medicine (Orthopaedic Surgery) Physician in Palm City, Florida. Licensed in Florida. Registered with an NPI since 2017.
- Licensed in
- FL
- In the registry since
- 2017
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4865 SW Golfside DrPalm City, FL 34990-7917
Phone: (772) 631-1563
Fax: (772) 463-2344
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Multi-Specialty Clinic/Center (primary) | Taxonomy 261QM1300X · Licence OS10791 (FL) |
|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | Taxonomy 207XX0005X · Licence OS10791 (FL) |
Record details
| NPI number | 1376072181 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Domenic Iacovone — President · (772) 631-1563 |
| NPI enumerated | June 6, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 4865 Sw Golfside Dr, Palm City, FL 34990-7917 |