ELITEMD INC


Address: 2960 Ne 207th St Unit 1108, Miami, FL 33180-1455
Phone: 3052242707

ELITEMD INC (NPI# 1992202758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992202758
Entity Type Organization
Organization Name ELITEMD INC
Practice Address 2960 Ne 207th St Unit 1108
Miami
FL 33180-1455
Practice Telephone 3052242707
Practice Fax Number 8448673298
Mailing Telephone 3052242707
Mailing Fax Number 8448673298
Enumeration Date 2018-04-09
Last Update Date 2019-01-29
Authorized Official Name DR. JEFFREY STERN (CEO)
Authorized Official Telephone 3052242707
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 261QM1300X Clinic/Center
Specialization: Multi-Specialty
Ambulatory Health Care Facilities
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1083979066 01
FL SUBOXONE/METHADONE XS7014626 01

Office Location

Street Address 2960 NE 207TH ST UNIT 1108
City MIAMI
State FL
Zip Code 33180-1455

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NPI Name Taxonomy Address Enumeration
1720607849 Nabeel Rahman Khan Student in an Organized Health Care Education/Training Program 20900 Biscayne Boulevard, Avetura, Fl, Aventura, FL 33180 2020-04-09
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1760976369 Michael Ernest Molino Optometrist 19575 Biscayne Blvd Ste 579, Aventura, FL 33180 2018-06-18
1932602620 Carmen Somarriba Physician Assistant 21110 Biscayne Blvd Bldg Suite400, Aventura, FL 33180 2018-03-09
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1891229126 Ifrah Zahid Butt Student in an Organized Health Care Education/Training Program 20900 Biscayne Blvd., Aventura, FL 33180 2017-04-13
1629500129 Hector Hugo Gonzalez Student in an Organized Health Care Education/Training Program 20900 Biscayne Blvd, South Tower, #807, Aventura Hospital and Medical Center, Aventura, FL 33180 2017-04-03
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1073052338 Alfa Diagnostic LLC Point of Service 21355 E Dixie Hwy Ste 101, Aventura, FL 33180 2017-02-20
1598211740 Katherine Mendez-martinez Nurse Practitioner 2925 Aventura Blvd. Suite 101, Aventura, FL 33180 2016-08-28
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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City MIAMI
Zip Code 33180

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Dataset Information

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.

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