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Contact Information

ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC
111 2ND AVE NE STE 1401
SAINT PETERSBURG, FL33701-3480
 Phone: 727-258-7224
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC

NPI Number 1104418292
LBN Legal business name ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC
Authorized official JOHN BROUSSARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/09/2021
Last updated 02/09/2021 - About 5 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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