Elite Medical Response LLC
Organization Active NPI Land Ambulance · Key Largo, FL
NPI 1255101366 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1255101366
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Land Ambulance 3416L0300X
- Legal business name
- ELITE MEDICAL RESPONSE LLC
- Practice address
- 101413 Overseas Hwy
Key Largo, FL 33037-4504 - Phone
- (786) 478-6064
- NPI assigned
- Jan 9, 2024
- Organization subpart
- No
Authorized official
- Name
- Joel Kestenbaum
- Title
- Sole Member
- Phone
- (718) 963-2400
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240724004682 | FL | Part B Supplier - Ambulance Service Supplier | 8022554195 | Practice locations: Key Largo, FL |
National Provider Directory
Locations
101413 Overseas Hwy
Key Largo, FL 33037
Phone (786) 478-6064
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Land Ambulance | 3416L0300X | Yes |
Addresses
Primary practice location
101413 Overseas Hwy
Key Largo, FL 33037-4504
Mailing address
101413 Overseas Hwy
Key Largo, FL 33037-4504
Other providers in Key Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.