Organization
ELITE RECOVERY & CRYO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCUS JORGENSEN (OWNER)
(352) 459-8148
Entity
Organization
Contact information
Practice address
2410 E SR 50, CLERMONT, FL 34711-6020
(352) 459-8148
Mailing address
6952 CHURCH LAKE ST, GROVELAND, FL 34736-8138
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
—
—
Other
Enumeration date
07/02/2024
Last updated
07/19/2024
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