| Elite Primary Care Llc | |
|
1490 Forest Hill Blvd West Palm Beach FL 33406-6014 | |
| (561) 967-5350 | |
| (561) 967-9224 |
| Full Name | Elite Primary Care Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1490 Forest Hill Blvd, West Palm Beach, Florida |
| Authorized Official Name and Position | Robert E Tome (OWNER) |
| Authorized Official Contact | 5619675350 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Primary Care Llc 1490 Forest Hill Blvd West Palm Beach FL 33406-6014 Ph: (561) 967-5350 | Elite Primary Care Llc 1490 Forest Hill Blvd West Palm Beach FL 33406-6014 Ph: (561) 967-5350 |
| NPI Number | 1134602022 |
|---|---|
| Provider Enumeration Date | 09/07/2018 |
| Last Update Date | 09/07/2018 |
| Medicare PECOS PAC ID | 4486991759 |
|---|---|
| Medicare Enrollment ID | O20190124000625 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134602022 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (Florida) | Primary |
| Provider Name | Robert E Tome |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750336426 PECOS PAC ID: 8022145358 Enrollment ID: I20100419000564 |
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