| Elite 23 Holding Group Llc | |
|
202 Sunny Isles Blvd Ste 8a Sunny Isles Beach FL 33160-4680 | |
| (305) 523-9787 | |
| (754) 310-1422 |
| Full Name | Elite 23 Holding Group Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 202 Sunny Isles Blvd Ste 8a, Sunny Isles Beach, Florida |
| Authorized Official Name and Position | Steven Yaskin (PRESIDENT) |
| Authorized Official Contact | 3055239787 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite 23 Holding Group Llc 202 Sunny Isles Blvd Ste 8a Sunny Isles Beach FL 33160-4680 Ph: (305) 523-9787 | Elite 23 Holding Group Llc 202 Sunny Isles Blvd Ste 8a Sunny Isles Beach FL 33160-4680 Ph: (305) 523-9787 |
| NPI Number | 1598592537 |
|---|---|
| Provider Enumeration Date | 09/16/2024 |
| Last Update Date | 04/26/2025 |
| Medicare PECOS PAC ID | 0345775086 |
|---|---|
| Medicare Enrollment ID | O20241119000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598592537 | NPI | - | NPPES |
| Provider Name | Inna Yaskin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316965353 PECOS PAC ID: 7810940707 Enrollment ID: I20231013002066 |
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