Provider Demographics
NPI:1316779549
Name:PERSEVERANCE PARTNERS, PLLC
Entity type:Organization
Organization Name:PERSEVERANCE PARTNERS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ORRETT
Authorized Official - Middle Name:G
Authorized Official - Last Name:KONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:407-394-8539
Mailing Address - Street 1:2607 S US HIGHWAY 27
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711
Mailing Address - Country:US
Mailing Address - Phone:352-644-7727
Mailing Address - Fax:
Practice Address - Street 1:2607 S US HIGHWAY 27
Practice Address - Street 2:SUITE 102
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711
Practice Address - Country:US
Practice Address - Phone:407-394-8539
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental