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Organization

MED PRO ELITE

Active
Other names
Med Pro Elite
Organization subpart
No

Provider details

NPI number
Authorized official
TAISMER BALESTIER (ADMINISTRATOR)
(407) 383-3589
Entity
Organization

Contact information

Practice address
407 WEKIVA SPRINGS RD STE 245, LONGWOOD, FL 32779-5922
(407) 383-3589
Mailing address
407 WEKIVA SPRINGS RD STE 245, LONGWOOD, FL 32779-5922
(407) 383-3589

Taxonomy

Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary

Other

Enumeration date
03/02/2022
Last updated
03/02/2022
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