| Summit Elite Medical , LLC | |
|
930 Dickens Pl West Palm Beach FL 33411-1864 | |
| (561) 484-4136 | |
| (214) 617-0486 |
| Full Name | Summit Elite Medical , LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 930 Dickens Pl, West Palm Beach, Florida |
| Authorized Official Name and Position | Andrea Thet (OWNER) |
| Authorized Official Contact | 3473990627 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Elite Medical , LLC 930 Dickens Pl West Palm Beach FL 33411-1864 Ph: (561) 484-4136 | Summit Elite Medical , LLC 930 Dickens Pl West Palm Beach FL 33411-1864 Ph: (561) 484-4136 |
| NPI Number | 1720946114 |
|---|---|
| Provider Enumeration Date | 01/13/2026 |
| Last Update Date | 01/16/2026 |
| Certification Date | 01/16/2026 |
| Medicare PECOS PAC ID | 3072096387 |
|---|---|
| Medicare Enrollment ID | O20260316000336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720946114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | () | Primary |
| Provider Name | Win Si Thu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326625625 PECOS PAC ID: 9335581800 Enrollment ID: I20240529003225 |
| Provider Name | Andrea Khin Thet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154678811 PECOS PAC ID: 3375972656 Enrollment ID: I20240723003363 |
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