| Elite Medical Alliance Inc | |
|
260 Crandon Blvd Ste 8 Key Biscayne FL 33149-1537 | |
| (305) 365-1114 | |
| (305) 365-1119 |
| Full Name | Elite Medical Alliance Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 260 Crandon Blvd Ste 8, Key Biscayne, Florida |
| Authorized Official Name and Position | Hamid Reza Keshvari-rasti (CEO) |
| Authorized Official Contact | 3053651114 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Medical Alliance Inc Po Box 347273 Miami FL 33234-7273 Ph: (305) 365-1114 | Elite Medical Alliance Inc 260 Crandon Blvd Ste 8 Key Biscayne FL 33149-1537 Ph: (305) 365-1114 |
| NPI Number | 1093921561 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 06/22/2022 |
| Medicare PECOS PAC ID | 3476644584 |
|---|---|
| Medicare Enrollment ID | O20070803000210 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093921561 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME95619 (Florida) | Primary |
| Provider Name | Hamid Re Keshvari Rasti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609939065 PECOS PAC ID: 0042315061 Enrollment ID: I20070420000096 |
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