Provider Demographics
NPI:1366625824
Name:PERFORMANCE HEALTH & CHIROPRACTIC INC.
Entity Type:Organization
Organization Name:PERFORMANCE HEALTH & CHIROPRACTIC INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:V
Authorized Official - Last Name:GIAMPIETRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:772-286-6260
Mailing Address - Street 1:1807 S KANNER HWY
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-7204
Mailing Address - Country:US
Mailing Address - Phone:772-286-6260
Mailing Address - Fax:772-286-6912
Practice Address - Street 1:1807 S KANNER HWY
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-7204
Practice Address - Country:US
Practice Address - Phone:772-286-6260
Practice Address - Fax:772-286-6912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH5633261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22161YMedicare PIN