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Organization
ELITE LIFE SCIENCES LLC
Active
Organization
ELITE LIFE SCIENCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CARBONARA (MANAGER)
(305) 741-0171
Entity
Organization
Contact information
Practice address
78 SW 7TH ST # 6-114, MIAMI, FL 33130-3402
(305) 741-0171
Mailing address
102 NE 2ND ST STE 112, BOCA RATON, FL 33432-3908
(305) 741-0171
Taxonomy
Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary
—
NULL
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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