Pro Performance Anti Aging and Pharmaceutical Supplementation LLC
Pro Performance Anti Aging and Pharmaceutical Supplementation LLC provides Sports Medicine (Orthopaedic Surgery) Physician services 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
Directions in Google Maps · Apple Maps · OpenStreetMap
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 |