# ELITE MEDICAL SUPPLY, LLC

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

## Provider details

- **NPI number:** 1962048629
- **Authorized official:** CHRISTINE MULE' (MANAGING MEMBER)
- **Authorized official phone:** (561) 294-1139

## Contact information

- **Practice address:** 6252 S CONGRESS AVE STE J2, LANTANA, FL 33462-2352
- **Practice address phone:** (561) 469-2090
- **Practice address fax:** (866) 488-5553
- **Mailing address:** 6252 S CONGRESS AVE STE J2, LANTANA, FL 33462-2352
- **Mailing address phone:** (561) 469-2090
- **Mailing address fax:** (866) 488-5553

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/18/2019
- **Last updated:** 04/14/2023