Elite Care of Central Florida PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ELITE CARE OF CENTRAL FLORIDA PLLC

Practice address

410 Lionel Way
Suite 202
Davenport, FL 33837-7803

Phone

(863) 216-5609

Fax

(863) 808-0362

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Ruben Perez

Title

Owner

Phone

(863) 875-0232

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424908800000",
    "number": "1649677592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 LIONEL WAY",
            "address_2": "SUITE 202",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377803",
            "telephone_number": "863-216-5609",
            "fax_number": "863-808-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LIONEL WAY",
            "address_2": "SUITE 202",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338377803",
            "telephone_number": "863-216-5609",
            "fax_number": "863-808-0362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE OF CENTRAL FLORIDA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2015-02-26",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "RUBEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-875-0232"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yolande Marie Eckrich, PA-C
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• Internal Medicine Physician in Davenport, FL
• Providers in Davenport, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2015; 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.