# ELITE SPINE & PAIN LLC

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

## Provider details

- **NPI number:** 1386471985
- **Authorized official:** JASON DANIEL LITT MD (CEO)
- **Authorized official phone:** (240) 547-6464

## Contact information

- **Practice address:** 800 S FREDERICK AVE STE 204, GAITHERSBURG, MD 20877-4152
- **Practice address phone:** (301) 591-8261
- **Practice address fax:** (240) 433-5572
- **Mailing address:** 97 THOMAS JOHNSON DR STE 200, FREDERICK, MD 21702-4374
- **Mailing address phone:** (240) 547-6464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | Yes |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/17/2024
- **Last updated:** 09/17/2024