ELITE WOMENS CARE NPI 1336702109

NPI Information

ELITE WOMENS CARE is a gynecology obstetrics gynecology in Brooksville, FL. ELITE WOMENS CARE NPI is 1336702109. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11319 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613-407
Phone: (352) 597-0907

The provider's authorized official is Johannes Wijnmaalen .
The authorized official title is Cfo and has the following contact phone number (352) 597-0907.

The CLIA number assigned to this NPI record is 10D2165250 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/17/2019 and was last updated on 4/17/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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