| Elite Renew Medical Group Llc | |
|
8786 Nw 139th Ter Miami Lakes FL 33018-7378 | |
| (786) 609-2985 | |
| Not Available |
| Full Name | Elite Renew Medical Group Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8786 Nw 139th Ter, Miami Lakes, Florida |
| Authorized Official Name and Position | Nadim Andres Tellez (PRESIDENT) |
| Authorized Official Contact | 3055040711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Renew Medical Group Llc 8786 Nw 139th Ter Miami Lakes FL 33018-7378 Ph: (786) 609-2985 | Elite Renew Medical Group Llc 8786 Nw 139th Ter Miami Lakes FL 33018-7378 Ph: (786) 609-2985 |
| NPI Number | 1497610026 |
|---|---|
| Provider Enumeration Date | 12/16/2025 |
| Last Update Date | 12/16/2025 |
| Certification Date | 12/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497610026 | NPI | - | NPPES |
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