Elite Orthopedic and Spine Centers, LLC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ELITE ORTHOPEDIC AND SPINE CENTERS, LLC

Practice address

2090 Sarno Rd
Melbourne, FL 32935-3077

Phone

(321) 608-8888

NPI assigned

Jun 27, 2019

Organization subpart

No

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

Authorized official

Name

Angel Weatherstein

Title

Practice Manager

Phone

(772) 245-8397

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561593600000",
    "number": "1467013532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 SE BRIDGE RD",
            "city": "HOBE SOUND",
            "state": "FL",
            "postal_code": "334555312",
            "telephone_number": "772-245-8397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 SARNO RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329353077",
            "telephone_number": "321-608-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2835 NW Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349949252",
            "country_code": "US",
            "telephone_number": "772-934-6390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "778 S US 1",
            "address_purpose": "LOCATION",
            "city": "Vero Beach",
            "state": "FL",
            "postal_code": "329624701",
            "country_code": "US",
            "telephone_number": "772-567-4661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELITE ORTHOPEDIC AND SPINE CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2019-06-27",
        "status": "A",
        "authorized_official_last_name": "WEATHERSTEIN",
        "authorized_official_first_name": "ANGEL",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "772-245-8397"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Orthopaedic Surgery Physician in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2019; 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.