| Elevate Wellness 369 Llc | |
|
9980 Central Park Blvd N Ste 314 Boca Raton FL 33428-1704 | |
| (561) 404-1699 | |
| (561) 404-9850 |
| Full Name | Elevate Wellness 369 Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 9980 Central Park Blvd N Ste 314, Boca Raton, Florida |
| Authorized Official Name and Position | Gayatri Siram (OWNER AND CEO) |
| Authorized Official Contact | 5613150198 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Wellness 369 Llc 9980 Central Park Blvd N Ste 314 Boca Raton FL 33428-1704 Ph: (561) 404-1699 | Elevate Wellness 369 Llc 9980 Central Park Blvd N Ste 314 Boca Raton FL 33428-1704 Ph: (561) 404-1699 |
| NPI Number | 1649119736 |
|---|---|
| Provider Enumeration Date | 03/25/2026 |
| Last Update Date | 03/25/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649119736 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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