Provider Demographics
NPI:1235877325
Name:PERSPEKTIV, LLC
Entity Type:Organization
Organization Name:PERSPEKTIV, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CRESPI
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:610-844-5612
Mailing Address - Street 1:6313 JACQUELINE ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-3163
Mailing Address - Country:US
Mailing Address - Phone:610-844-5612
Mailing Address - Fax:
Practice Address - Street 1:2688 STONEWOOD PARK LOOP
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34638-6210
Practice Address - Country:US
Practice Address - Phone:610-844-5612
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-26
Last Update Date:2022-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech