Elite Medical Providers LLC
NPI #1003642877 in Port Saint Lucie, Florida
Provider Information
- NPI Number
- 1003642877
- Entity Type
- Organization
- Organization Name
- Elite Medical Providers LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 10, 2024
- Last Updated
- Sep 10, 2024
Practice Location
- Address
- 1701 SE HILLMOOR DR # 17
- City
- Port Saint Lucie
- State
- Florida
- ZIP Code
- 34952-7552
- Phone
- (772) 207-0697
Authorized Official
- Name
- FRANCINE COSTELLO
- Title
- ACCOUNTANT
- Phone
- (772) 528-9991
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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