| Elite Ld Therapy Services Inc | |
|
17424 Nw 63rd Ct Hialeah FL 33015-4485 | |
| (786) 587-3684 | |
| Not Available |
| Full Name | Elite Ld Therapy Services Inc |
|---|---|
| Speciality | Clinic/center |
| Location | 17424 Nw 63rd Ct, Hialeah, Florida |
| Authorized Official Name and Position | Liset Diaz (OWNER) |
| Authorized Official Contact | 7865873684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Ld Therapy Services Inc 17424 Nw 63rd Ct Hialeah FL 33015-4485 Ph: (786) 587-3684 | Elite Ld Therapy Services Inc 17424 Nw 63rd Ct Hialeah FL 33015-4485 Ph: (786) 587-3684 |
| NPI Number | 1609644665 |
|---|---|
| Provider Enumeration Date | 12/19/2023 |
| Last Update Date | 12/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609644665 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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