Organization
ELITE CARE MEDICAL SUPPLIES LLC
Active
Other names
Elite Care Medical Supplies LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ELIJAH WALKER (OWNER)
(904) 504-0601
Entity
Organization
Contact information
Practice address
3100 UNIVERSITY BLVD S STE 109, JACKSONVILLE, FL 32216-2737
(904) 504-0601
(866) 667-9488
Mailing address
3100 UNIVERSITY BLVD S STE 109, JACKSONVILLE, FL 32216-2737
(904) 504-0601
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
11/21/2018
Last updated
03/07/2025
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