Preferred Performance LLC

NPI #1992458624 in Gulfport, Florida

Provider Information

NPI Number
1992458624
Entity Type
Organization
Organization Name
Preferred Performance LLC
Primary Specialty
Prosthetic/Orthotic Supplier
Enumeration Date
Feb 2, 2022
Last Updated
Feb 2, 2022

Practice Location

Address
5002 22ND AVE S
State
Florida
ZIP Code
33707-4942
Phone
(727) 481-1152

Authorized Official

Name
MRS. IRENE DACOSTA, COSMETOLOGIST
Title
COSMETOLOGIST
Phone
(727) 481-1152

Specialties & Taxonomy Codes

Specialty
Prosthetic/Orthotic Supplier

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