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Organization

ELITE LIFE SCIENCES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL CARBONARA (MANAGER)
(305) 741-0171
Entity
Organization

Contact information

Practice address
78 SW 7TH ST # 6-114, MIAMI, FL 33130-3402
(305) 741-0171
Mailing address
102 NE 2ND ST STE 112, BOCA RATON, FL 33432-3908
(305) 741-0171

Taxonomy

Speciality
Code
Description
License number
State
335G00000X
Medical Foods Supplier
Primary

Other

Enumeration date
12/16/2018
Last updated
12/16/2018
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