NPI | 1073115846 |
---|---|
Doing Business As | ELITE MEDICAL WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | GISSELLE FRATTINI Owner 954-736-7433 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |