CLUB ELITE, CORP. (NPI# 1558924373) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558924373 |
| Entity Type | Organization |
| Organization Name | CLUB ELITE, CORP. |
| Practice Address |
8430 Blue Mountain Ave Boynton Beach FL 33473-5080 |
| Mailing Address |
11870 W State Road 84 Ste C3 Davie FL 33325-3811 |
| Practice Telephone | 9544743611 |
| Mailing Telephone | 9544743611 |
| Mailing Fax Number | 9544743613 |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | JOSEPH CAROCCIO (OWNER) |
| Authorized Official Telephone | 9543365639 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 887989300 | 05 |
| Street Address |
8430 BLUE MOUNTAIN AVE |
| City | BOYNTON BEACH |
| State | FL |
| Zip Code | 33473-5080 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942762703 | Dina Wrathell | Physical Therapist | 8430 Blue Mountain Ave, Boynton Beach, FL 33473-5080 | 2019-04-02 |
| 1821621657 | Elizabeth Seely | Physical Therapist | 8430 Blue Mountain Ave, Boynton Beach, FL 33473-5080 | 2020-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013293059 | Emily Katcher | Nurse Practitioner | 8662 Daystar Ridge Pt, Boynton Beach, FL 33473 | 2011-10-21 |
| 1962672030 | Physical Therapy On Wheels Inc | Physical Therapist | 11195 Millpond Greens Drive, Boynton Beach, FL 33473 | 2008-03-05 |
| 1750444667 | Rochelle Stern | Nurse Anesthetist, Certified Registered | 8843 Heartsong Terrace, Boynton Beach, FL 33473 | 2006-12-19 |
| 1518020106 | Steven B Berlin | Dentist | 12019 Glacier Bay Drive, Boynton Beach, FL 33473 | 2006-12-18 |
| 1144544065 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2010-03-22 |
| 1699229328 | Joy Ebo | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2016-08-10 |
| 1306115720 | Mariam Ikladious Tawadros | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2011-12-14 |
| 1982972295 | Bijal Patel | Pharmacist | 10110 Lyons Rd, Boynton Beach, FL 33473-4701 | 2011-12-01 |
| 1851420640 | Dennis Harkins | Chiropractor | 10684 Stone Garden Dr, Boynton Beach, FL 33473-4804 | 2007-03-05 |
| 1194766956 | Fred Tow | Radiology | 8921 Raven Rock Ct, Boynton Beach, FL 33473-4831 | 2006-06-10 |
| Find all providers in zip 33473 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558912998 | Brandi Allerdings | Clinic/Center | 10151 Enterprise Ctr Ste 200, Boynton Beach, FL 33437-3761 | 2019-09-26 |
| 1902275720 | Kishna Sisca Physical Therapy Pa | Clinic/Center | 10290 Gentlewood Forest Dr, Boynton Beach, FL 33473-4862 | 2015-09-22 |
| 1568699247 | Chomsky Therapy Services Inc. | Clinic/Center | 6609 W Woolbright Rd Ste 420, Boynton Beach, FL 33437 | 2009-06-19 |
| 1689831893 | Major Physical Therapy Inc | Clinic/Center | 4895 Windward Passage Dr #3, Boynton Beach, FL 33436-7741 | 2008-05-16 |
| 1205025897 | Martin Physical Therapy Inc | Clinic/Center | 906 S Federal Hwy Ste B, Boynton Beach, FL 33435-5671 | 2007-10-18 |
| 1760546550 | Cora Health Services, Inc. | Clinic/Center | 7410 Boynton Beach Blvd Ste A11, Boynton Beach, FL 33437-6157 | 2006-12-19 |
| 1770191124 | Carlos A Aguilar | Clinic/Center | 3111 W Boynton Beach Blvd Ste 200, Boynton Beach, FL 33436-4613 | 2020-07-21 |
| 1396385969 | Oak Mt LLC | Clinic/Center | 906 S Federal Hwy Ste B, Boynton Beach, FL 33435-5671 | 2020-01-13 |
| 1003453721 | Paula Manieu | Clinic/Center | 10075 S Jog Rd, Boynton Beach, FL 33437-3535 | 2019-12-01 |
| 1629619838 | Quinn Physical Therapy Group, Inc. | Clinic/Center | 7362 Briella Dr, Boynton Beach, FL 33437-3770 | 2019-09-30 |
| Find all providers in BOYNTON BEACH | ||||
| City | BOYNTON BEACH |
| Zip Code | 33473 |
Please comment or provide details below to improve the information on CLUB ELITE, CORP..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.