Organization
ELITE SPINE AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAHANGIR ASGHAR MD (OWNER)
(610) 506-8507
Entity
Organization
Contact information
Practice address
10244 S US HIGHWAY 1, PORT ST LUCIE, FL 34952-5615
(954) 223-5483
(954) 223-5484
Mailing address
499 NW 70TH AVE STE 200, PLANTATION, FL 33317-7578
(954) 223-5483
(954) 223-5484
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
08/04/2022
Last updated
08/04/2022
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