Provider Demographics
NPI:1942844956
Name:PEAK PERFORMAX LLC
Entity Type:Organization
Organization Name:PEAK PERFORMAX LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:MS
Authorized Official - First Name:COURTENAY
Authorized Official - Middle Name:B
Authorized Official - Last Name:RODONETS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-828-6125
Mailing Address - Street 1:5200 NW 43RD ST STE 102-309
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-4484
Mailing Address - Country:US
Mailing Address - Phone:561-600-5003
Mailing Address - Fax:
Practice Address - Street 1:5200 NW 43RD ST STE 102-309
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606-4484
Practice Address - Country:US
Practice Address - Phone:561-600-5003
Practice Address - Fax:561-571-7714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Y00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Health InformationGroup - Multi-Specialty