| Elevate Primary Care & Wellness Llc | |
|
107 Lake Emma Cove Dr Lake Mary FL 32746-2508 | |
| (407) 310-3102 | |
| Not Available |
| Full Name | Elevate Primary Care & Wellness Llc |
|---|---|
| Speciality | General Practice |
| Location | 107 Lake Emma Cove Dr, Lake Mary, Florida |
| Authorized Official Name and Position | Nela F Ballesteros Moyano (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4073103102 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elevate Primary Care & Wellness Llc 107 Lake Emma Cove Dr Lake Mary FL 32746-2508 Ph: (407) 310-3102 | Elevate Primary Care & Wellness Llc 107 Lake Emma Cove Dr Lake Mary FL 32746-2508 Ph: (407) 310-3102 |
| NPI Number | 1336986827 |
|---|---|
| Provider Enumeration Date | 07/11/2024 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336986827 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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