Organization Active NPI

Elite Healthcare Center PA

  • Internal Medicine Physician
  • Clewiston, FL
National Provider Identifier
1174865109
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ELITE HEALTHCARE CENTER PA
Practice address
876 W Sugarland Hwy
Clewiston, FL 33440-2704
Phone
(561) 629-7267
NPI assigned
Mar 15, 2013
Last updated
Mar 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Authorized official

Name
Dr. Moise Anglade, MDNPI 1992904718
Title
President
Phone
(561) 629-7267

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

876 W Sugarland Hwy
Clewiston, FL 33440-2704

Mailing address

876 W Sugarland Hwy
Clewiston, FL 33440-2704

National Provider Directory

National Provider Directory

Locations

876 W Sugarland Hwy
Clewiston, FL 33440
Phone (863) 739-3880

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1363305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364342400000",
    "number": "1174865109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "876 W SUGARLAND HWY",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334402704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "876 W SUGARLAND HWY",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334402704",
            "telephone_number": "561-629-7267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTHCARE CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-15",
        "last_updated": "2013-03-27",
        "status": "A",
        "authorized_official_last_name": "ANGLADE",
        "authorized_official_first_name": "MOISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-629-7267",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.