| NPI | 1588310395 |
|---|---|
| Doing Business As | MED PRO ELITE |
| Entity Type | Organization |
| Authorized Contact | TAISMER BALESTIER Administrator 407-383-3589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-03-02 |
| Last Update Date | 2022-03-02 |