Elite Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELITE MEDICINE, LLC

Practice address

13241 Bartram Park Blvd Unit 713
Jacksonville, FL 32258-5215

Phone

(904) 770-9581

Fax

(732) 561-1788

NPI assigned

Dec 3, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Xavier Blanco

Title

Owner

Phone

(352) 647-7655

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Xavier Blanco Criado, MD

  • Internal Medicine Physician
  • Jacksonville, FL
  • NPI 1710482906
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1083420228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 713",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 713",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585215",
            "telephone_number": "904-770-9581",
            "fax_number": "732-561-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "BLANCO",
        "authorized_official_first_name": "XAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-647-7655"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Care Transport Services LLC
• Elite Home Care of Jax LLC
• Elite Home Health LLC
• Elite Hospitalist Group
• Elite in Home Physicians
• Elite Mind and Body Solutions
• Elite Recovery FL,LLC
• Elite Regions Nemt LLC
• Elite Support Services LLC
• Elite Touch Homecare LLC

• Internal Medicine Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.