# ELITE COMPLETE CARE LLC

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

## Provider details

- **NPI number:** 1245006022
- **Authorized official:** ALICE TUPERE KISHOIYIAN NP (MANAGER)
- **Authorized official phone:** (321) 948-6674

## Contact information

- **Practice address:** 1425 DARNABY WAY, ORLANDO, FL 32824-5073
- **Practice address phone:** (321) 948-6674
- **Mailing address:** PO BOX 770843, ORLANDO, FL 32877-0843
- **Mailing address phone:** (321) 948-6674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2023
- **Last updated:** 04/15/2024