Elite Sports & Wellness LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH 8448 Issued in FL

Legal business name

ELITE SPORTS & WELLNESS LLC

Practice address

3586 Aloma Ave
Suite 8
Winter Park, FL 32792-4010

Phone

(407) 557-3177

Fax

(407) 286-5372

NPI assigned

Mar 20, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Cesar Irizarry, D.C.NPI 1720058142

Title

Physician/Owner

Phone

(407) 486-2752

Specialties & licenses 1

Addresses

Locations

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.

• Cesar Octavio Irizarry, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1720058142
  NPD (past) Authorized official

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1568889103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3586 ALOMA AVE",
            "address_2": "SUITE 8",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924010",
            "telephone_number": "407-557-3177",
            "fax_number": "407-286-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3586 ALOMA AVE",
            "address_2": "SUITE 8",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327924010",
            "telephone_number": "407-557-3177",
            "fax_number": "407-286-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SPORTS & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "IRIZARRY",
        "authorized_official_first_name": "CESAR",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "407-486-2752",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH 8448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Leila Elder, MA
• Chad Austin Eldridge, DC
• Amber Elery
• Elizabeth T Hunter MD PA
• Shayna Anne Ellery
• Carolyn Ilona Ellis, LMHC
• Jennifer Jan Ellis, ATC
• Katherine Hope Ellison

• Chiropractor in Winter Park, FL
• Providers in Winter Park, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.