Organization
ELITE CORE THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON ALPHONSO ELMORE DPT (MGRM/ CEO)
(803) 378-6295
Entity
Organization
Contact information
Practice address
13595 SW 134TH AVE STE 107, MIAMI, FL 33186-4579
(786) 592-1190
(786) 732-2955
Mailing address
13595 SW 134TH AVE STE 107, MIAMI, FL 33186-4579
(786) 592-1190
(786) 732-2955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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