Organization
IPERFORMANCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL M MARGAGLIANO (OFFICE MANAGER)
(850) 460-2024
Entity
Organization
Contact information
Practice address
200 CALUSA BLVD, SUITE 300, DESTIN, FL 32541-5753
(850) 460-2024
(850) 460-7987
Mailing address
200 CALUSA BLVD, SUITE 300, DESTIN, FL 32541-5753
(850) 460-2024
(850) 460-7987
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14370
OPTUM HEALTH/UNITEDHEALTHCARE GROUP
FL
01
—
1871991240
TRICARE
FL
01
—
6923846
CIGNA
FL
01
—
735439
OPTUM HEALTH/UNITEDHEALTHCARE INDIVIDUAL
FL
01
—
Y91AW
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/16/2014
Last updated
10/09/2017
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