| Elite Dna Therapy Services | |
|
926 Cypress Village Blvd Ste B Ruskin FL 33573-6831 | |
| (239) 690-6906 | |
| Not Available |
| Full Name | Elite Dna Therapy Services |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 926 Cypress Village Blvd Ste B, Ruskin, Florida |
| Authorized Official Name and Position | Elizabeth Noemi Dosoretz (CEO/OWNER) |
| Authorized Official Contact | 2392232751 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Dna Therapy Services 4310 Metro Pkwy Ste 205 Fort Myers FL 33916-9416 Ph: (239) 690-6906 | Elite Dna Therapy Services 926 Cypress Village Blvd Ste B Ruskin FL 33573-6831 Ph: (239) 690-6906 |
| NPI Number | 1760244867 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760244867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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