Organization
ELITE HOSPITALIST GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN JAMES WILEY M.D. (PRESIDENT)
(904) 758-8020
Entity
Organization
Contact information
Practice address
4201 BELFORT RD, JACKSONVILLE, FL 32216-1431
(904) 758-8020
Mailing address
1650 MARGARET ST STE 302, JACKSONVILLE, FL 32204-3869
(904) 758-8020
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME 0111390
FL
Other
Enumeration date
01/16/2015
Last updated
04/26/2016
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