Pro Performance Anti Aging And Pharmaceutical Supplementation Llc
Clinic/center (Multi-Specialty) Clinic
4865 Sw Golfside Dr, Palm City
Florida, 34990-7917
772-631-1563 772-463-2344
Maps & DirectionsPro Performance Anti Aging And Pharmaceutical Supplementation Llc is a Sports Orthopedic Clinic in Palm City, Florida. It is situated at 4865 Sw Golfside Dr, Palm City and its contact number is 772-631-1563. The authorized person of Pro Performance Anti Aging And Pharmaceutical Supplementation Llc is Mr. Domenic Iacovone
who is President of the clinic and their contact number is 772-631-1563. Primary license number for Pro Performance Anti Aging And Pharmaceutical Supplementation Llc is OS10791 (Clinic/center (Multi-Specialty)) in Florida.
Pro Performance Anti Aging And Pharmaceutical Supplementation Llc Clinic has sports orthopaedic surgeons who are trained in sports medicine which help to provide appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Complete Profile:
Pro Performance Anti Aging And Pharmaceutical Supplementation Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Specialization: | Sports Medicine |
| Clinic Address: | 4865 Sw Golfside Dr, Palm City,
Florida, 34990-7917 |
| Phone: | 772-631-1563 |
| Fax: | 772-463-2344 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Domenic Iacovone |
| Position: | President |
| Contact Number: | 772-631-1563 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pro Performance Anti Aging And Pharmaceutical Supplementation Llc Clinic are as mentioned below.
| NPI Number: | 1376072181 |
| NPI Enumeration Date: | 06 Jun, 2017 |
| NPI Last Update On: | 21 Jul, 2022 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pro Performance Anti Aging And Pharmaceutical Supplementation Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Clinic/center (Multi-Specialty) | OS10791 | Florida | Primary | |
| Sports Medicine | OS10791 | Florida | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| OS10791 | Other | Florida | Group Practice Speciality |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Pro Performance Anti Aging And Pharmaceutical Supplementation Llc
4865 Sw Golfside Dr,
Palm City, Florida |
| Zip: | 34990-7917 |
| Phone Number: | 772-631-1563 |
| Fax Number: | 772-463-2344 |
Patients can reach Pro Performance Anti Aging And Pharmaceutical Supplementation Llc at
4865 Sw Golfside Dr, Palm City, Florida or can
call to book an appointment on 772-631-1563.
Comments/ Reviews:
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** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.