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Organization

PERFORMANCE EDUCATION LLC

Active
Other names
Performance Education LLC
Organization subpart
No

Provider details

NPI number
Authorized official
KIRBY RETZER (OWNER)
(561) 699-2560
Entity
Organization

Contact information

Practice address
14609 6 MILE CYPRESS PKWY, FORT MYERS, FL 33912-4465
(239) 202-2910
Mailing address
9848 COLONIAL WALK S, ESTERO, FL 33928-6309
(561) 699-2560

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
03/18/2021
Last updated
03/18/2021
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