# ELITE MED SPA BY A&G CORP

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

## Provider details

- **NPI number:** 1962394353
- **Authorized official:** GAUDENCIA GOMEZ (PRESIDENT/OWNER)
- **Authorized official phone:** (786) 296-9977

## Contact information

- **Practice address:** 10780 W FLAGLER ST STE 11, MIAMI, FL 33174-4403
- **Practice address phone:** (786) 296-9977
- **Mailing address:** 10780 W FLAGLER ST STE 11, MIAMI, FL 33174-4403
- **Mailing address phone:** (786) 296-9977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | — |
| 171400000X | Health & Wellness Coach | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/18/2025
- **Last updated:** 07/18/2025