Provider Demographics
NPI:1275018400
Name:ATHLETIC PERFORMANCE ENHANCEMENT LLC
Entity Type:Organization
Organization Name:ATHLETIC PERFORMANCE ENHANCEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:W
Authorized Official - Last Name:BOVEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-502-9562
Mailing Address - Street 1:4419 GOLDCOAST AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-1920
Mailing Address - Country:US
Mailing Address - Phone:813-502-9562
Mailing Address - Fax:
Practice Address - Street 1:4419 GOLDCOAST AVE
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34609-1920
Practice Address - Country:US
Practice Address - Phone:813-502-9562
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-03
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty