location
search-icon
institution
Elite Spine Llc
Medical Specialty Clinic/Center in Port Orange, Florida
NPI 1639698269

Elite Spine Llc is a Medical Specialty Clinic/Center based in Port Orange, FL and is specialized in Medical Specialty. Elite Spine Llc practices in Port Orange, FL. The NPI Number for Elite Spine Llc is 1639698269 and holds a License No. CH12049 (Florida).

The current practice location address for Elite Spine Llc is 800 Dunlawton Ave Ste 103, Port Orange, FL and can be reached out via phone at 386-265-0102 and via fax at 386-401-2316.

Location: 800 Dunlawton Ave Ste 103, Port Orange, FL, 32127-4249
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1639698269
Provider Name
Elite Spine Llc
Credential
Provider Entity Type
Organization
Address
800 Dunlawton Ave Ste 103, Port Orange, FL, 32127-4249
Phone Number
386-265-0102
Fax Number
386-401-2316
Provider Enumeration Date
09/14/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1295271344 05 FL
institution
Provider Business Practice Location Address Details
Address
800 Dunlawton Ave Ste 103
City
Port Orange
State
Florida
Zip
32127-4249
Phone Number
386-265-0102
Fax Number
386-401-2316
person
Provider Business Mailing Address Details
Address
800 Dunlawton Ave Ste 103
City
Port Orange
State
Florida
Zip
32127-4249
Phone Number
386-265-0102
Fax Number
386-401-2316
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
CH12049 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.