# ELITE RELIEF MD

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

## Provider details

- **NPI number:** 1447029947
- **Authorized official:** KELLY U DESOUZA MD (PHYSICIAN)
- **Authorized official phone:** (754) 200-6410

## Contact information

- **Practice address:** 7740 NOVA DR STE B4, DAVIE, FL 33324-5802
- **Practice address phone:** (754) 200-6410
- **Practice address fax:** (754) 200-6411
- **Mailing address:** 7740 NOVA DR STE B4, DAVIE, FL 33324-5802
- **Mailing address phone:** (754) 200-6410
- **Mailing address fax:** (754) 200-6411

## Taxonomy

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

## Other

- **Enumeration date:** 12/26/2023
- **Last updated:** 03/21/2024