Individual provider Active NPI

Melissa Raymonde Elizee, M.D.

  • Family Medicine Physician
  • Greenacres, FL
National Provider Identifier
1093203127
Registry record updated Jun 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME159444 Issued in FL
Practice address
4998 10TH Ave N
Greenacres, FL 33463-2210
Phone
(561) 293-2900
Fax
(561) 412-5554
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME159444 FL Primary

Addresses

Primary practice location

4998 10TH Ave N
Greenacres, FL 33463-2210

Mailing address

4998 10TH Ave N
Greenacres, FL 33463-2210
Phone (561) 293-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230421001220 FL Practitioner - Family Practice 7618332800 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME159444FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2023 Accepting new patients
Dedicated Senior Medical Center of Florida, LLC CurrentSince Jun 1, 2023 Accepting new patients

Locations

4998 10th Ave N
Greenacres, FL 33463
Phone (305) 965-4997

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1093203127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4998 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632210",
            "telephone_number": "561-293-2900",
            "fax_number": "561-412-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4998 10TH AVE N",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334632210",
            "telephone_number": "561-293-2900",
            "fax_number": "561-412-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZEE",
        "first_name": "MELISSA",
        "middle_name": "RAYMONDE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME159444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.