Elite Life Sciences LLC

NPI #1457822793 in Miami, Florida

Provider Information

NPI Number: 1457822793
Entity Type: Organization
Organization Name: Elite Life Sciences LLC
Primary Specialty: Medical Foods Supplier
Enumeration Date: Dec 16, 2018
Last Updated: Dec 16, 2018

Practice Location

Address: 78 SW 7TH ST # 6-114
City: Miami
State: Florida
ZIP Code: 33130-3402
Phone: (305) 741-0171

Authorized Official

Name: MICHAEL CARBONARA
Title: MANAGER
Phone: (305) 741-0171

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Medical Foods Supplier	335G00000X	Primary

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