CHRIS AND ELZA HEALTHCARE LLC NPI 1336738608

NPI Information

NPI: 1336738608
Provider Name: CHRIS AND ELZA HEALTHCARE, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
4889 LAKE WORTH RD STE 109
GREENACRES, FL
ZIP 33463
Phone: (561) 720-2443
Get Directions

CHRIS AND ELZA HEALTHCARE, LLC is a family medicine in Greenacres, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CHRIS AND ELZA HEALTHCARE, LLC NPI is 1336738608. The provider is registered as an organization entity type.

The provider's business location address is:

4889 LAKE WORTH RD STE 109
GREENACRES, FL
ZIP 33463-480
Phone: (561) 720-2443
Fax: (561) 877-5042

The provider's authorized official is Carole Jenkins .
The authorized official title is Owner and has the following contact phone number (561) 801-0664.

The enumeration date for this NPI number is 1/12/2021 and was last updated on 10/11/2021.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QP2300X	Clinic/Center	Primary Care	No
2	363LF0000X	Nurse Practitioner	Family	No
3	207Q00000X	Family Medicine		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	110363200	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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