NPIMap

Organization Active NPI

Dna Comprehensive Therapy Services, LLC

Doing business as Elite DNA Therapy Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
National Provider Identifier
1538833892
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DNA COMPREHENSIVE THERAPY SERVICES, LLC
Doing business as
Elite DNA Therapy Services
Practice address
2055 Reyko Rd Ste 100
Jacksonville, FL 32207-2828
Phone
(904) 648-8200
Fax
(904) 253-3270
NPI assigned
Aug 2, 2021
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
DNA COMPREHENSIVE THERAPY SERVICES, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Elizabeth Noemi DosoretzNPI 1659565646
Title
Ceo
Phone
(239) 223-2751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

2055 Reyko Rd Ste 100
Jacksonville, FL 32207-2828

Mailing address

4310 Metro Pkwy Ste 205
Fort Myers, FL 33916-9416
Phone (239) 236-8784

Other names 1

  • Elite DNA Therapy Services Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2198149Dna Comprehensive Therapy Services LLC2055 Reyko Rd Ste 100,, Jacksonville, FL 32207Certificate of waiverOct 29, 2026

National Provider Directory

National Provider Directory
Tax ID family
Dna Comprehensive Therapy Services LLC68 organizations share this tax ID, including this one
Part of
Dna Comprehensive Therapy Services LLC

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Practitioners & affiliated clinicians

Practitioners 1

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": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1538833892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 METRO PKWY STE 205",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169416",
            "telephone_number": "239-236-8784",
            "fax_number": "239-790-2624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 REYKO RD STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072828",
            "telephone_number": "904-648-8200",
            "fax_number": "904-253-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA COMPREHENSIVE THERAPY SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DNA COMPREHENSIVE THERAPY SERVICES, LLC",
        "enumeration_date": "2021-08-02",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "DOSORETZ",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "NOEMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "239-223-2751"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite DNA Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Elite DNA Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.