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Organization

ELEVATE WELLNESS 369 LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GAYATRI SIRAM MD (OWNER AND CEO)
(561) 315-0198
Entity
Organization

Contact information

Practice address
9980 CENTRAL PARK BLVD N STE 314, BOCA RATON, FL 33428-1704
(561) 404-1699
(561) 404-9850
Mailing address
9980 CENTRAL PARK BLVD N STE 314, BOCA RATON, FL 33428-1704
(561) 404-1699
(561) 404-9850

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
03/25/2026
Last updated
03/25/2026
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