| The Performance Lab | |
|
6920 N Dale Mabry Hwy Tampa FL 33614-3931 | |
| (813) 212-1120 | |
| (813) 412-8404 |
| Full Name | The Performance Lab |
|---|---|
| Speciality | Clinic/Center |
| Location | 6920 N Dale Mabry Hwy, Tampa, Florida |
| Authorized Official Name and Position | Bahir L Manios (CEO) |
| Authorized Official Contact | 8132121120 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Performance Lab 6920 N Dale Mabry Hwy Tampa FL 33614-3931 Ph: (813) 212-1120 | The Performance Lab 6920 N Dale Mabry Hwy Tampa FL 33614-3931 Ph: (813) 212-1120 |
| NPI Number | 1356166391 |
|---|---|
| Provider Enumeration Date | 11/15/2024 |
| Last Update Date | 09/02/2026 |
| Certification Date | 09/02/2026 |
| Medicare PECOS PAC ID | 2769951136 |
|---|---|
| Medicare Enrollment ID | O20260514002657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356166391 | NPI | - | NPPES |
| Provider Name | Gabriel a Gonzales Portillo |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1811992357 PECOS PAC ID: 4385676824 Enrollment ID: I20051004000284 |
| Provider Name | Sharad Ishwerbhai Patel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1326046962 PECOS PAC ID: 0446290118 Enrollment ID: I20070428000109 |
| Provider Name | David Nolen |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275003089 PECOS PAC ID: 2264779867 Enrollment ID: I20190118002785 |
| Provider Name | Marissa R Mccarthy |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437322294 PECOS PAC ID: 8527220839 Enrollment ID: I20200511001026 |
| Provider Name | Kate Elizabeth Turchin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457078545 PECOS PAC ID: 9032586326 Enrollment ID: I20221028001829 |
| Provider Name | Elissa L Pally |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1730616814 PECOS PAC ID: 2163897398 Enrollment ID: I20230331000854 |
| Provider Name | Kareem Qaisi |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1023647377 PECOS PAC ID: 4385091081 Enrollment ID: I20231116001967 |
| Provider Name | Miguel a Lorenz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306194774 PECOS PAC ID: 0648428037 Enrollment ID: I20260515000501 |
Main St Medical USA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11734 North Dale Mabry, Tampa, FL 33618 Phone: 813-968-6000 Fax: 813-968-6007 |
Infante Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4712 N Armenia Ave, Suite 102, Tampa, FL 33603 Phone: 813-873-1725 Fax: 813-873-2924 |
After Care Centers of Florida LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3424 W Kennedy Blvd, Tampa, FL 33609 Phone: 855-716-3342 |
Eugene a Ward M.D. PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 E Fletcher Avenue, Suite 310, Tampa, FL 33613 Phone: 813-972-1654 Fax: 813-972-7176 |
Sarroca Medical Center, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3709 W Hamilton Ave, Unit 9., Tampa, FL 33614 Phone: 813-374-7608 Fax: 813-374-9124 |
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