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Organization
PROFORMANCE SPORTS LLC
Active
Organization
PROFORMANCE SPORTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN SILVER PT, ATC, CSCS (MEMBER)
(773) 957-6841
Entity
Organization
Contact information
Practice address
4305 N GOMEZ AVE STE B, TAMPA, FL 33607-6311
(773) 957-6841
Mailing address
3817 W SAN NICHOLAS ST, TAMPA, FL 33629-6307
(773) 957-6841
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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