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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELITE SPINE LLC

Active Organization

ELITE SPINE LLC is a Medical Specialty Clinic organization located in PORT ORANGE, Florida. NPI 1639698269 is currently active in the NPPES registry. Verify at CMS.

Medical Specialty Clinic · PORT ORANGE, FL

Registration Details

NPI Number
1639698269
Provider Type
Organization
NPI Issued
Sep 14, 2017 (8.9600469689299 yrs)
Last Updated
Oct 4, 2021
License
CH12049 (FL)

Practice Information

Address
800 DUNLAWTON AVE STE 103
PORT ORANGE, FL, 321274249
Browse FL providers · Browse ZIP 32127
Phone
3862650102
Fax
3864012316
Primary Specialty
Medical Specialty Clinic
261QM2500X

Other Medical Specialty Clinic Organizations in PORT ORANGE, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.