| Elite Wellness Internal Medicine Inc | |
|
2300 S Congress Ave Ste 105 Boynton Beach FL 33426-7400 | |
| (561) 203-5282 | |
| (740) 212-8513 |
| Full Name | Elite Wellness Internal Medicine Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2300 S Congress Ave Ste 105, Boynton Beach, Florida |
| Authorized Official Name and Position | Kandy Morris (SVP OF MANAGED CARE) |
| Authorized Official Contact | 7027280528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Wellness Internal Medicine Inc 6615 W Boynton Beach Blvd Ste 412 Boynton Beach FL 33437-3526 Ph: (561) 203-5282 | Elite Wellness Internal Medicine Inc 2300 S Congress Ave Ste 105 Boynton Beach FL 33426-7400 Ph: (561) 203-5282 |
| NPI Number | 1114783479 |
|---|---|
| Provider Enumeration Date | 02/26/2024 |
| Last Update Date | 04/07/2024 |
| Medicare PECOS PAC ID | 4183142706 |
|---|---|
| Medicare Enrollment ID | O20250519000426 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114783479 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Teresa Marie Gallo-thys |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104137207 PECOS PAC ID: 0840434890 Enrollment ID: I20150917002711 |
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