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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
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