Organization
ELITE MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
XAVIER BLANCO (OWNER)
(352) 647-7655
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 713, JACKSONVILLE, FL 32258-5215
(904) 770-9581
(732) 561-1788
Mailing address
13241 BARTRAM PARK BLVD UNIT 713, JACKSONVILLE, FL 32258-5215
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/03/2024
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