Elite Health and Wellness Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ELITE HEALTH AND WELLNESS CENTER LLC

Practice address

264 NW Peacock Blvd Ste 103
Port Saint Lucie, FL 34986-2272

Phone

(772) 777-8233

Fax

(772) 673-7710

NPI assigned

Sep 24, 2018

Organization subpart

No

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

Authorized official

Name

Lois Cassle, ARNP

Title

Arnp

Phone

(772) 777-8233

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537747200000",
    "number": "1780168906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 NW PEACOCK BLVD STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862272",
            "telephone_number": "772-777-8233",
            "fax_number": "772-673-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 NW PEACOCK BLVD STE 103",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349862272",
            "telephone_number": "772-777-8233",
            "fax_number": "772-673-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HEALTH AND WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A",
        "authorized_official_last_name": "CASSLE",
        "authorized_official_first_name": "LOIS",
        "authorized_official_title_or_position": "ARNP",
        "authorized_official_telephone_number": "772-777-8233",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Elizabeth Edrington
• Eduardo Borges, MD, PA
• Shannon Margaret Edwards
• Katie Anne Morris Eisnaugle, FNP-C, PMHNP-BC
• Austin Allen Ekonomou
• Elite Medical Providers LLC
• Kerry Ann Ellington Robinson
• Kimberly Ellis, D.O.
• Kimberly M Ellis, MS, MPH, RD, LD/N
• Kimberly Tonine Ellis, LCSW

• Primary Care Clinic/Center in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Primary Care Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.