Organization
ELITE GASTRO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINA ELNEMR MD (OWNER)
(239) 405-0361
Entity
Organization
Contact information
Practice address
3709 W HAMILTON AVE STE 5, TAMPA, FL 33614-4015
(813) 932-4430
Mailing address
19723 WELLINGTON MANOR BLVD, LUTZ, FL 33549-5011
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
—
—
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/04/2023
Last updated
06/09/2023
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