# ELITE MEDICAL ALLIANCE INC

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

## Provider details

- **NPI number:** 1093921561
- **Authorized official:** HAMID REZA KESHVARI-RASTI MD (CEO)
- **Authorized official phone:** (305) 365-1114

## Contact information

- **Practice address:** 260 CRANDON BLVD STE 8, KEY BISCAYNE, FL 33149-1537
- **Practice address phone:** (305) 365-1114
- **Practice address fax:** (305) 365-1119
- **Mailing address:** PO BOX 347273, MIAMI, FL 33234-7273
- **Mailing address phone:** (305) 365-1114
- **Mailing address fax:** (305) 365-1119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME95619 | FL | Yes |

## Other

- **Enumeration date:** 05/14/2007
- **Last updated:** 06/22/2022