Club Elite, Corp.

LBN: Club Elite, Corp.
Club Elite, Corp. is an health care organization with primary practice located at 8430 Blue Mountain Ave , Boynton Beach FL 33473-5080. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Club Elite, Corp. can be contacted via phone (954) 474-3611, or through Caroccio, Joseph via phone (954) 336-5639.

Contact Information

Primary practice address
8430 Blue Mountain Ave Boynton Beach FL 33473-5080
Phone: (954) 474-3611
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Caroccio, Joseph DPT
Phone: (954) 336-5639

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X

Profile Details

NPI number 1558924373
LBN Legal business name Club Elite, Corp.
DBA Doing business as
Authorized official Caroccio, Joseph DPT
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 2019
Last updated Aug 20th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558924373 NPPES
Florida MEDICAID 887989300

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