Organization
PERFORMANCE ORTHOPAEDIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MEVORAH (OWNER)
(954) 765-3200
Entity
Organization
Contact information
Practice address
721 SE 17TH ST, #104, FT LAUDERDALE, FL 33316-2983
(954) 765-3200
(786) 975-2643
Mailing address
721 SE 17TH ST, #104, FT LAUDERDALE, FL 33316-2983
(954) 765-3200
(786) 975-2643
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
FL
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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