| Elite Medical Grp Llc | |
|
280 Patterson Rd Ste 3 Haines City FL 33844-6261 | |
| (407) 607-0099 | |
| Not Available |
| Full Name | Elite Medical Grp Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 280 Patterson Rd Ste 3, Haines City, Florida |
| Authorized Official Name and Position | Mohamed Tariq Inshan (DC) |
| Authorized Official Contact | 4076070099 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Grp Llc 280 Patterson Rd Ste 3 Haines City FL 33844-6261 Ph: (407) 607-0099 | Elite Medical Grp Llc 280 Patterson Rd Ste 3 Haines City FL 33844-6261 Ph: (407) 607-0099 |
| NPI Number | 1922613637 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/10/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922613637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
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