| NPI | 1407655822 |
|---|---|
| Former Legal Business Name | ELITE OB/GYN SURGERY LLC |
| Entity Type | Organization |
| Authorized Contact | JOHNNY RIVERA Administrator 407-529-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 207V00000X Obstetrics & Gynecology | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |