# ELITE HOSPITALIST GROUP

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

## Provider details

- **NPI number:** 1689063406
- **Authorized official:** DR. KELVIN JAMES WILEY M.D. (PRESIDENT)
- **Authorized official phone:** (904) 758-8020

## Contact information

- **Practice address:** 4201 BELFORT RD, JACKSONVILLE, FL 32216-1431
- **Practice address phone:** (904) 758-8020
- **Mailing address:** 1650 MARGARET ST STE 302, JACKSONVILLE, FL 32204-3869
- **Mailing address phone:** (904) 758-8020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME 0111390 | FL | Yes |

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 04/26/2016