# ELITE HEALTH PRIMARY CARE PA

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

## Provider details

- **NPI number:** 1831425073
- **Authorized official:** ALICIA LEDO (ADMINISTRATOR)
- **Authorized official phone:** (305) 672-9989

## Contact information

- **Practice address:** 4302 ALTON RD, SUITE 300, MIAMI BEACH, FL 33140-2891
- **Practice address phone:** (305) 672-9989
- **Practice address fax:** (305) 672-3284
- **Mailing address:** 4302 ALTON RD, SUITE 300, MIAMI BEACH, FL 33140-2891
- **Mailing address phone:** (305) 672-9989
- **Mailing address fax:** (305) 672-3284

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/22/2009
- **Last updated:** 05/01/2012