# PERFORMANCE SURGICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578876298
- **Authorized official:** MRS. EVELYN FISCALETTI (MEDICAL BILLER)
- **Authorized official phone:** (954) 426-1169

## Contact information

- **Practice address:** 721 SE 17TH ST STE 10, FT LAUDERDALE, FL 33316-2983
- **Practice address phone:** (954) 765-3200
- **Mailing address:** 721 SE 17TH ST STE 10, FT LAUDERDALE, FL 33316-2983
- **Mailing address phone:** (954) 765-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | FL | — |
| 207X00000X | Orthopaedic Surgery Physician | — | FL | Yes |

## Other

- **Enumeration date:** 07/22/2010
- **Last updated:** 07/22/2010