# ELITE CARE MEDICAL SUPPLIES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elite Care Medical Supplies LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265901110
- **Authorized official:** ELIJAH WALKER (OWNER)
- **Authorized official phone:** (904) 504-0601

## Contact information

- **Practice address:** 3100 UNIVERSITY BLVD S STE 109, JACKSONVILLE, FL 32216-2737
- **Practice address phone:** (904) 504-0601
- **Practice address fax:** (866) 667-9488
- **Mailing address:** 3100 UNIVERSITY BLVD S STE 109, JACKSONVILLE, FL 32216-2737
- **Mailing address phone:** (904) 504-0601

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225000000X | Orthotic Fitter | — | NULL | — |
| 225000000X | Orthotic Fitter | — | — | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |
| 332BC3200X | Customized Equipment (DME) | — | NULL | — |

## Other

- **Enumeration date:** 11/21/2018
- **Last updated:** 03/07/2025