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ELITE THERAPY GROUP INC NPI 1942736400


NPI Information

NPI: 1942736400
Provider Name: ELITE THERAPY GROUP, INC

Doing Business As: ELITE MEDICAL WELLNESS, LLC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 10D2140187

Address:
4505 WEST FLAGLER STREET
SUITE 201
MIAMI, FL
ZIP 33134
Phone: (786) 703-2625
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ELITE THERAPY GROUP, INC is a family medicine in Miami, 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. ELITE THERAPY GROUP, INC NPI is 1942736400. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elite Medical Wellness, Llc.

The provider's business location address is:

4505 WEST FLAGLER STREET
SUITE 201
MIAMI, FL
ZIP 33134
Phone: (786) 703-2625
Fax: (786) 703-2609

The provider's authorized official is Paola Wated .
The authorized official title is Ceo and has the following contact phone number (786) 703-2625.

The CLIA number assigned to this NPI record is 10D2140187 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/3/2017 and was last updated on 1/13/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

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

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