Organization
ELITE INNOVATIONS, LLC
Active
Organization
ELITE INNOVATIONS, LLC
Active
Other names
Stellar Transport
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN D PETERSEN (CEO)
(863) 999-9998
Entity
Organization
Contact information
Practice address
3630 HAVENDALE BLVD NW, WINTER HAVEN, FL 33881-1063
(863) 999-9998
(863) 999-9998
Mailing address
6039 CYPRESS GARDENS BLVD STE 533, WINTER HAVEN, FL 33884-4115
(863) 999-9998
(863) 999-9998
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/02/2018
Last updated
05/03/2023
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