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Organization
THE PERFORMANCE LAB LLC
Active
Organization
THE PERFORMANCE LAB LLC
Active
Other names
The Performance Lab
Organization subpart
No
Provider details
NPI number
Authorized official
BAHIR L MANIOS (CEO)
(813) 212-1120
Entity
Organization
Contact information
Practice address
6920 N DALE MABRY HWY, TAMPA, FL 33614-3931
(813) 212-1120
(813) 412-8404
Mailing address
6920 N DALE MABRY HWY, TAMPA, FL 33614-3931
(813) 212-1120
(813) 412-8404
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
NULL
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
NULL
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
—
—
225100000X
Physical Therapist
—
NULL
225100000X
Physical Therapist
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
363A00000X
Physician Assistant
—
NULL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
11/15/2024
Last updated
09/02/2026
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