Elite Spine Llc

LBN: Elite Spine Llc
Elite Spine Llc is an health care organization with primary practice located at 800 Dunlawton Ave Ste 103 , Port Orange FL 32127-4249. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Elite Spine Llc can be contacted via phone (386) 265-0102, or through Nakayama, Rachel via phone (386) 872-2929.

Contact Information

Primary practice address
800 Dunlawton Ave Ste 103 Port Orange FL 32127-4249
Phone: (386) 265-0102
Fax: (386) 401-2316
Website:
Map and Directions
Authorized official contact:
Name: Nakayama, Rachel
Phone: (386) 872-2929

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X CH12049 Florida

Profile Details

NPI number 1639698269
LBN Legal business name Elite Spine Llc
DBA Doing business as
Authorized official Nakayama, Rachel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2017
Last updated Oct 4th, 2021 - about 3 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 1639698269 NPPES
Florida MEDICAID 1295271344

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