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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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