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Organization

FLORIDA ELITE MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRIS BRISCH (VP OF FINANCE)
(813) 536-7281
Entity
Organization

Contact information

Practice address
20525 AMBERFIELD DR UNIT 104, LAND O LAKES, FL 34638-4381
(813) 536-7281
Mailing address
20525 AMBERFIELD DR UNIT 104, LAND O LAKES, FL 34638-4381

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
09/15/2020
Last updated
09/15/2020
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