Elevate Primary Care & Wellness LLC

NPI #1336986827 in Lake Mary, Florida

Provider Information

NPI Number
1336986827
Entity Type
Organization
Organization Name
Elevate Primary Care & Wellness LLC
Primary Specialty
General Practice
Enumeration Date
Jul 11, 2024
Last Updated
Jul 15, 2024

Practice Location

Address
107 LAKE EMMA COVE DR
State
Florida
ZIP Code
32746-2508
Phone
(407) 310-3102

Authorized Official

Name
DR. NELA F BALLESTEROS MOYANO, MD
Title
MEDICAL DIRECTOR
Phone
(407) 310-3102

Specialties & Taxonomy Codes

Specialty
General Practice

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