# ELEMENTAL LIVING INC

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

## Provider details

- **NPI number:** 1205617404
- **Authorized official:** DR. ABBEY HERNANDEZ IKE DC (CEO)
- **Authorized official phone:** (714) 326-7647

## Contact information

- **Practice address:** 301 ALMERIA AVE STE 250, CORAL GABLES, FL 33134-5835
- **Practice address phone:** (954) 231-5484
- **Practice address fax:** (239) 379-4385
- **Mailing address:** 299 ALHAMBRA CIR STE 315, CORAL GABLES, FL 33134-5113
- **Mailing address phone:** (786) 432-1512

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | Yes |
| 111N00000X | Chiropractor | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 10/12/2023
- **Last updated:** 05/22/2025