Performance Hyperbaric LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PERFORMANCE HYPERBARIC LLC

Practice address

1929 NW Federal Hwy
Stuart, FL 34994-9303

Phone

(347) 427-5655

NPI assigned

Oct 11, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nikolas Mangola

Title

Owner

Phone

(347) 427-5655

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728604800000",
    "number": "1396565602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1472 SE SUNSHINE AVE",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349526009",
            "telephone_number": "347-427-5655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1929 NW FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349949303",
            "telephone_number": "347-427-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE HYPERBARIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-11",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A",
        "authorized_official_last_name": "MANGOLA",
        "authorized_official_first_name": "NIKOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-427-5655"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Perez I
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• Sarah J Perez, RBT
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• Mark L Perlman, MD

• Family Nurse Practitioner in Stuart, FL
• Providers in Stuart, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.