Performspecialty, Llc
Specialty Pharmacy
2416 Lake Orange Dr, Sutie 190, Orlando
Florida, 32837-7812
407-956-1220 844-489-9565
Performspecialty, Llc is a Specialty Pharmacy in Orlando, Florida. It is located at 2416 Lake Orange Dr, Sutie 190, Orlando and it's customer support contact number is 407-956-1220. The authorized person of Performspecialty, Llc is Robert E Tootle who is Assistant Secretary of the pharmacy and his contact number is 215-937-8561. Performspecialty, Llc accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Performspecialty, Llc is a pharmacy that dispenses generally low volume and high cost medicinal preparations to patients who are undergoing intensive therapies for illnesses that are generally chronic, complex and potentially life threatening. Often these therapies require specialized delivery and administration.
Pharmacy Details:
Performspecialty, Llc type, location, contact phone number and fax are as below. Patients can directly walkin to the pharmacy or can call on the below given customer support phone number for enquiries.
| Name: | Performspecialty, Llc |
| Type: | Specialty Pharmacy |
| Location: | 2416 Lake Orange Dr, Sutie 190, Orlando,
Florida, 32837-7812 |
| Phone: | 407-956-1220 |
| Fax: | 844-489-9565 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this pharmacy is as below. Person's position and contact details are also mentioned below.
| Name: | Robert E Tootle |
| Position: | Assistant Secretary |
| Contact Number: | 215-937-8561 |
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 of given pharmacy are as mentioned below.
| NPI Number: | 1437562642 |
| NPI Enumeration Date: | 05 Jun, 2014 |
| NPI Last Update On: | 19 Aug, 2020 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Performspecialty, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Specialty Pharmacy | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the pharmacy such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 012043200 | Medicaid | Florida | |
| 1029314380001 | Medicaid | Pennsylvania | |
Medicare Enrollment:
Performspecialty, Llc is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 3678874286 | O20160315001997 | Performspecialty, Llc | PART B SUPPLIER - OTHER |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 200 Stevens Dr,
Philadelphia, Pennsylvania |
| Zip: | 19113-1520 |
| Phone Number: | -- |
Patients can reach Performspecialty, Llc at
2416 Lake Orange Dr, Sutie 190, Orlando, Florida or can
call on customer care at 407-956-1220.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.