| Elite Medical Providers Llc | |
|
1701 Se Hillmoor Dr # 17 Port Saint Lucie FL 34952-7552 | |
| (772) 207-0697 | |
| Not Available |
| Full Name | Elite Medical Providers Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1701 Se Hillmoor Dr # 17, Port Saint Lucie, Florida |
| Authorized Official Name and Position | Francine Costello (ACCOUNTANT) |
| Authorized Official Contact | 7725289991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Providers Llc 1701 Se Hillmoor Dr # 17 Port Saint Lucie FL 34952-7552 Ph: (772) 207-0697 | Elite Medical Providers Llc 1701 Se Hillmoor Dr # 17 Port Saint Lucie FL 34952-7552 Ph: (772) 207-0697 |
| NPI Number | 1003642877 |
|---|---|
| Provider Enumeration Date | 09/10/2024 |
| Last Update Date | 09/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003642877 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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