# HIGH PERFORMANCE FOOT AND ANKLE, LLC

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

## Provider details

- **NPI number:** 1902208044
- **Authorized official:** DR. STACEY ALANA PAUKOVITZ DPM (OWNER/PHYSICIAN)
- **Authorized official phone:** (732) 330-0924

## Contact information

- **Practice address:** 1903 ATLANTIC AVE, BLDG C, STE 3, MANASQUAN, NJ 08736-1005
- **Practice address phone:** (732) 528-2218
- **Practice address fax:** (732) 528-2234
- **Mailing address:** 1903 ATLANTIC AVE, BLDG C, STE 3, MANASQUAN, NJ 08736-1005
- **Mailing address phone:** (732) 528-2218
- **Mailing address fax:** (732) 528-2234

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 25MD00269900 | NJ | Yes |

## Other

- **Enumeration date:** 09/19/2014
- **Last updated:** 07/30/2015