Elite Performance and Longevity Center, Corp.

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

ELITE PERFORMANCE AND LONGEVITY CENTER, CORP.

Practice address

2030 Bee Ridge Rd Ste B
Sarasota, FL 34239-6108

Phone

(941) 809-5794

NPI assigned

May 30, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Diaz, MDNPI 1730121682

Title

Medical Director

Phone

(941) 809-5794

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.

• Carlos A Diaz, MD

  • Physical Medicine & Rehabilitation Physician
  • Sarasota, FL
  • NPI 1730121682
  NPD Authorized official

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

{
    "created_epoch": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748563200000",
    "number": "1700779659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 BEE RIDGE RD STE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396108",
            "telephone_number": "941-809-5794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 BEE RIDGE RD STE B",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342396108",
            "telephone_number": "941-809-5794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE PERFORMANCE AND LONGEVITY CENTER, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "941-809-5794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Integrative Medicine Physician in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Integrative Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.