| Elemental Living Inc | |
|
301 Almeria Ave Ste 250 Coral Gables FL 33134-5835 | |
| (954) 231-5484 | |
| (239) 379-4385 |
| Full Name | Elemental Living Inc |
|---|---|
| Speciality | Chiropractor |
| Location | 301 Almeria Ave Ste 250, Coral Gables, Florida |
| Authorized Official Name and Position | Abbey Hernandez Ike (CEO) |
| Authorized Official Contact | 7143267647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elemental Living Inc 299 Alhambra Cir Ste 315 Coral Gables FL 33134-5113 Ph: (786) 432-1512 | Elemental Living Inc 301 Almeria Ave Ste 250 Coral Gables FL 33134-5835 Ph: (954) 231-5484 |
| NPI Number | 1205617404 |
|---|---|
| Provider Enumeration Date | 10/12/2023 |
| Last Update Date | 05/22/2025 |
| Medicare PECOS PAC ID | 7214385822 |
|---|---|
| Medicare Enrollment ID | O20231120003678 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205617404 | NPI | - | NPPES |
| Provider Name | Lubov Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194714824 PECOS PAC ID: 2163483744 Enrollment ID: I20041026001162 |
| Provider Name | Jonathan M Newell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881303451 PECOS PAC ID: 3173994704 Enrollment ID: I20230119000024 |
| Provider Name | Stephanie N Buckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164099800 PECOS PAC ID: 8729452727 Enrollment ID: I20230314001830 |
| Provider Name | Abbey Hernandez Ike |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1447783667 PECOS PAC ID: 4789030529 Enrollment ID: I20231030003585 |
| Provider Name | Catherine M Brugnolotti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053990135 PECOS PAC ID: 8729522354 Enrollment ID: I20240706000268 |
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