Elite Med-Spa Center LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

ELITE MED-SPA CENTER LLC

Practice address

5825 Lake Worth Rd
Greenacres, FL 33463-3209

Phone

(561) 502-4765

NPI assigned

Jan 19, 2022

Organization subpart

No

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

Authorized official

Name

Sabina Valdes Tarafa, APRN

Title

President

Phone

(561) 502-4765

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.

• Sabina Valdes, APRN

  • Family Nurse Practitioner
  • Palm Springs, FL
  • NPI 1205456837
  NPD

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

{
    "created_epoch": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642550400000",
    "number": "1649922964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633209",
            "telephone_number": "561-502-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 LAKE WORTH RD",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633209",
            "telephone_number": "561-502-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MED-SPA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2022-01-19",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "VALDES TARAFA",
        "authorized_official_first_name": "SABINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-502-4765",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa M Eimer, RPH, CPH
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• Melissa Raymonde Elizee, M.D.
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• Matthew Ward English, P.T.

• Clinic/Center in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2022; 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.