Individual
ELLE PELTCS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5186 NW 52ND ST, COCONUT CREEK, FL 33073-4915
(954) 798-2123
Mailing address
5186 NW 52ND ST, COCONUT CREEK, FL 33073-4915
(954) 798-2123
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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