Organization
MED PRO ELITE
Active
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
Update your record
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