Elite Wellness Center
Clinic/Center in Pinellas Park, FL. Organization (NPI-2).
NPI number1457093619
StatusActive
Last updated in NPPESApr 14, 2022
Details
- NPI
- 1457093619
- Entity type
- Organization (NPI-2)
- Legal business name
- Elite Wellness Center
- Organization subpart
- No
- Enumeration date
- Apr 8, 2022
- Certification date
- Apr 11, 2022
- Last updated
- Apr 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
6425 53rd St NPinellas Park, FL 33781-5629
Phone 727-222-3459
Mailing address
6425 53rd St NPinellas Park, FL 33781-5629
Phone 727-222-3459
Authorized official
Megan Burgess
Owner
7274201384
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