Active NPI
Elite Health Access, LLC
- Adult Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1023693603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- Legal business name
- ELITE HEALTH ACCESS, LLC
- Practice address
- 807 SE 12TH CT
Fort Lauderdale, FL 33316-2228 - Phone
- (305) 306-2880
- Fax
- (305) 306-2889
- NPI assigned
- Mar 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Audrea Vaughan, DO
- Title
- Medical Director
- Phone
- (305) 306-2880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | Primary | ||
| Health Service Clinic/Center | 261QH0100X |
Addresses
Primary practice location
807 SE 12TH CT
Fort Lauderdale, FL 33316-2228
Mailing address
807 SE 12TH CT
Fort Lauderdale, FL 33316-2228
Phone (305) 306-2880
Other names 1
- THE CONCIERGE PRACTICE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- North Miami Beach, FL
- NPI 1023339355
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771027200000",
"number": "1023693603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "807 SE 12TH CT",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162228",
"telephone_number": "305-306-2880",
"fax_number": "305-306-2889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "807 SE 12TH CT",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333162228",
"telephone_number": "305-306-2880",
"fax_number": "305-306-2889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELITE HEALTH ACCESS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-15",
"last_updated": "2026-02-14",
"certification_date": "2026-02-14",
"status": "A",
"authorized_official_last_name": "VAUGHAN",
"authorized_official_first_name": "AUDREA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "305-306-2880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "THE CONCIERGE PRACTICE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.