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Organization
ELEVATE WELLNESS 369 LLC
Active
Organization
ELEVATE WELLNESS 369 LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAYATRI SIRAM MD (OWNER AND CEO)
(561) 315-0198
Entity
Organization
Contact information
Practice address
9980 CENTRAL PARK BLVD N STE 314, BOCA RATON, FL 33428-1704
(561) 404-1699
(561) 404-9850
Mailing address
9980 CENTRAL PARK BLVD N STE 314, BOCA RATON, FL 33428-1704
(561) 404-1699
(561) 404-9850
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2026
Last updated
03/25/2026
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