# ELITE WELLNESS INTERNAL MEDICINE INC

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

## Provider details

- **NPI number:** 1114783479
- **Authorized official:** KANDY MORRIS (SVP OF MANAGED CARE)
- **Authorized official phone:** (702) 728-0528

## Contact information

- **Practice address:** 2300 S CONGRESS AVE STE 105, BOYNTON BEACH, FL 33426-7400
- **Practice address phone:** (561) 203-5282
- **Practice address fax:** (740) 212-8513
- **Mailing address:** 6615 W BOYNTON BEACH BLVD STE 412, BOYNTON BEACH, FL 33437-3526
- **Mailing address phone:** (561) 203-5282

## Taxonomy

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

## Other

- **Enumeration date:** 02/26/2024
- **Last updated:** 04/07/2024