Organization Active NPI

Performance Surgical LLC

  • Orthopaedic Surgery Physician
  • Ft Lauderdale, FL
National Provider Identifier
1578876298
Registry record updated Jul 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
PERFORMANCE SURGICAL LLC
Practice address
721 SE 17TH St Ste 10
Ft Lauderdale, FL 33316-2983
Phone
(954) 765-3200
NPI assigned
Jul 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2010

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

Authorized official

Name
Mrs. Evelyn Fiscaletti
Title
Medical Biller
Phone
(954) 426-1169

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X FL
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X FL Primary

Addresses

Primary practice location

721 SE 17TH St Ste 10
Ft Lauderdale, FL 33316-2983

Mailing address

721 SE 17TH St Ste 10
Ft Lauderdale, FL 33316-2983
Phone (954) 765-3200

National Provider Directory

National Provider Directory

Locations

721 SE 17th St
Ste 10
Ft Lauderdale, FL 33316
Phone (954) 765-3200

NPI Registry JSON

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

{
    "created_epoch": "1279756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279756800000",
    "number": "1578876298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 SE 17TH ST STE 10",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162983",
            "telephone_number": "954-765-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 SE 17TH ST STE 10",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333162983",
            "telephone_number": "954-765-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFORMANCE SURGICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-22",
        "last_updated": "2010-07-22",
        "status": "A",
        "authorized_official_last_name": "FISCALETTI",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "954-426-1169",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; 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.