Elite Diabetic Healthcare Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

ELITE DIABETIC HEALTHCARE CORP

Practice address

10675 SW 190TH St Ste 1208
Cutler Bay, FL 33157-7712

Phone

(601) 513-4956

NPI assigned

Oct 18, 2022

Organization subpart

No

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

Authorized official

Name

Willie Gibbs

Title

Authorized Official

Phone

(601) 513-4956

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666051200000",
    "number": "1679299010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10675 SW 190TH ST STE 1208",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577712",
            "telephone_number": "601-513-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10675 SW 190TH ST STE 1208",
            "city": "CUTLER BAY",
            "state": "FL",
            "postal_code": "331577712",
            "telephone_number": "601-513-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DIABETIC HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "GIBBS",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "601-513-4956"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Edouard, ARNP
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• Edwin Cordero, MD PA
• Elan Healthcare Corporation, Inc.
• April Eldemire, LMFT
• Elite Healthcare Staffing Inc
• William Elizalde Barrios, RBT
• Aminta Esther Elles
• Elm & Vine Wellness LLC
• Emmas Cosmetic LLC

• Durable Medical Equipment & Medical Supplies in Cutler Bay, FL
• Providers in Cutler Bay, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.