Organization
PREFERRED PERFORMANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IRENE DACOSTA COSMETOLOGIST (COSMETOLOGIST)
(727) 481-1152
Entity
Organization
Contact information
Practice address
5002 22ND AVE S, GULFPORT, FL 33707-4942
(727) 481-1152
(727) 481-1152
Mailing address
3135 1ST AVE N # 12735, SAINT PETERSBURG, FL 33730-9990
(727) 481-1152
(727) 481-1152
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/02/2022
Last updated
02/02/2022
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