Organization
CHRIS AND ELZA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLE JENKINS APRN (OWNER)
(561) 801-0664
Entity
Organization
Contact information
Practice address
1665 DR MARTIN LUTHER KING JR BLVD STE 12, RIVIERA BEACH, FL 33404-7126
(561) 720-2443
(561) 877-5042
Mailing address
1665 DR MARTIN LUTHER KING JR BLVD STE 12, RIVIERA BEACH, FL 33404-7126
(561) 720-2443
(561) 877-5042
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110363200
—
FL
Enumeration date
01/12/2021
Last updated
04/16/2025
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