| Elitehealth Primary Care Group | |
|
1601 N Palm Ave Ste 109 Pembroke Pines FL 33026-3240 | |
| (954) 432-1511 | |
| (954) 432-5195 |
| Full Name | Elitehealth Primary Care Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1601 N Palm Ave Ste 109, Pembroke Pines, Florida |
| Authorized Official Name and Position | Alicia Ledo (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 3056729989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elitehealth Primary Care Group 1601 N Palm Ave Ste 109 Pembroke Pines FL 33026-3240 Ph: (954) 432-1511 | Elitehealth Primary Care Group 1601 N Palm Ave Ste 109 Pembroke Pines FL 33026-3240 Ph: (954) 432-1511 |
| NPI Number | 1003175324 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 05/07/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003175324 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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