Organization
ELITE COMPLETE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICE TUPERE KISHOIYIAN NP (MANAGER)
(321) 948-6674
Entity
Organization
Contact information
Practice address
1425 DARNABY WAY, ORLANDO, FL 32824-5073
(321) 948-6674
Mailing address
PO BOX 770843, ORLANDO, FL 32877-0843
(321) 948-6674
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
04/15/2024
Update your record
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