# ELITE MEDICINE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083420228
- **Authorized official:** XAVIER BLANCO (OWNER)
- **Authorized official phone:** (352) 647-7655

## Contact information

- **Practice address:** 13241 BARTRAM PARK BLVD UNIT 713, JACKSONVILLE, FL 32258-5215
- **Practice address phone:** (904) 770-9581
- **Practice address fax:** (732) 561-1788
- **Mailing address:** 13241 BARTRAM PARK BLVD UNIT 713, JACKSONVILLE, FL 32258-5215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/03/2024
- **Last updated:** 12/03/2024