Elite Core Therapy, Llc | |
13595 Sw 134th Ave Ste 107, Miami, FL 33186-4579 | |
(786) 592-1190 | |
(786) 732-2955 |
Full Name | Elite Core Therapy, Llc |
---|---|
Type | Facility |
Speciality | Physical Therapist |
Location | 13595 Sw 134th Ave Ste 107, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396395679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | (* (Not Available)) | Primary |
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
Provider Name | Brandon A Elmore |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1457833964 PECOS PAC ID: 9335573062 Enrollment ID: I20200106000403 |
Mailing Address | Practice Location Address |
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Elite Core Therapy, Llc 13595 Sw 134th Ave Ste 107, Miami, FL 33186-4579 Ph: (786) 592-1190 | Elite Core Therapy, Llc 13595 Sw 134th Ave Ste 107, Miami, FL 33186-4579 Ph: (786) 592-1190 |
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