Elite Ambulatory Services Llc

NPI 1073726386 - Clinic/Center - 261QP2000X

NPI Details
NPI 1073726386
Enumeration Date 05/07/2007
Last Updated 09/21/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KENNETH I KENNETH
Position PRESIDENT
Phone (941) 544-7512
Fax
Practice Location
1690 SWEETLAND ST
NOKOMIS FL, 34275-1634, US
Phone (941) 544-7512
Fax
Business Location
1690 SWEETLAND ST
NOKOMIS FL, 34275-1634, US
Phone (941) 544-7512
Fax
Toxanomy
Taxonomy Code 261QP2000X
License State Florida
License Number PT 19775
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According to our database, Elite Ambulatory Services Llc NPI is 1073726386, taxonomy code is 261QP2000X and license number is PT 19775, license state is located at Florida. Elite Ambulatory Services Llc physically located at 1690 Sweetland St, Nokomis FL, 34275-1634. NPI Number 1033115704 has the healthcare provider type.

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1073726386 NPI number is provided on an as is basis without warranty of any kind. 1073726386 is maintained by the National Plan & Provider Enumeration System. The contents of Elite Ambulatory Services Llc are for informational purposes only.