# ELITE ORTHOPEDIC AND SPINE CENTERS, LLC

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

## Provider details

- **NPI number:** 1467013532
- **Authorized official:** ANGEL WEATHERSTEIN (PRACTICE MANAGER)
- **Authorized official phone:** (772) 245-8397

## Contact information

- **Practice address:** 2090 SARNO RD, MELBOURNE, FL 32935-3077
- **Practice address phone:** (321) 608-8888
- **Mailing address:** 8925 SE BRIDGE RD, HOBE SOUND, FL 33455-5312
- **Mailing address phone:** (772) 245-8397

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/27/2019
- **Last updated:** 06/27/2019