ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC
NPI 1104418292
Family Medicine - Sports Medicine in St Petersburg, FL

Q: What is Alliance Regenerative And Performance Medicine, PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Active since February 09, 2021

111 2ND AVE NE STE 1401, ST PETERSBURG, FL 33701(727) 258-7224 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Alliance Regenerative And Performance Medicine, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC (NPI 1104418292) is a healthcare organization registered as a sports medicine in St Petersburg, Florida and active in the NPI registry since February 2021. The organization lists John Broussard, Owner, as its authorized official.

NPPES Registry Identity

NPI1104418292

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameALLIANCE REGENERATIVE AND PERFORMANCE MEDICINE, PLLC

Location Address111 2ND AVE NE STE 1401St Petersburg, FL 33701-3480

Mailing Address111 2nd Ave Ne Ste 1401St Petersburg, FL 33701-3480 · (727) 258-7224

Phone(727) 258-7224

Organization SubpartNo

Authorized OfficialJohn BroussardOwner · (727) 258-7224

Enumeration DateFebruary 9, 2021

NPPES CertifiedFebruary 9, 2021

✔ NPI 1104418292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

111 2ND AVE NE STE 1401, St Petersburg, FL 33701

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALLIANCE SPORTS REHAB

Physical Therapist (Sports)