Elevate Medical INC.
Physician Assistant, Medical in Naples, FL. Organization (NPI-2).
NPI number1205334331
StatusActive
Last updated in NPPESJan 23, 2018
Details
- NPI
- 1205334331
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Medical INC.
- Organization subpart
- No
- Enumeration date
- Jan 23, 2018
- Last updated
- Jan 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | PA9104322 | FL | Yes |
Practice location
2349 Vanderbilt Beach Rd Ste 508Naples, FL 34109-2776
Phone 662-501-0043 · Fax 662-562-0161
Mailing address
106 Eagle StSenatobia, MS 38668-9501
Phone 662-501-0043 · Fax 662-562-0161
Authorized official
Loretta C Harrell
Billing Manager
6625010043
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