Organization
PERFORMANCE REHAB, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. EVELYN FISCALETTI (BILLER)
(754) 234-6975
Entity
Organization
Contact information
Practice address
721 SE 17TH ST, FT LAUDERDALE, FL 33316-2983
(954) 765-3200
(954) 765-3206
Mailing address
721 SE 17TH ST, FT LAUDERDALE, FL 33316-2983
(954) 765-3200
(954) 765-3206
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
11/20/2010
Last updated
11/20/2010
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