Elite Medical GRP LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

ELITE MEDICAL GRP LLC

Practice address

280 Patterson Rd Ste 3
Haines City, FL 33844-6261

Phone

(407) 607-0099

NPI assigned

Sep 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Mohamed Tariq Inshan, DCNPI 1922372960

Title

DC

Phone

(407) 607-0099

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mohamed Tariq Inshan, D.C.

  • Chiropractor
  • Orlando, FL
  • NPI 1922372960
  NPD Authorized official

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599696000000",
    "number": "1922613637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 PATTERSON RD STE 3",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446261",
            "telephone_number": "407-607-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 PATTERSON RD STE 3",
            "city": "HAINES CITY",
            "state": "FL",
            "postal_code": "338446261",
            "telephone_number": "407-607-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MEDICAL GRP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-09-10",
        "certification_date": "2020-09-10",
        "status": "A",
        "authorized_official_last_name": "INSHAN",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "TARIQ",
        "authorized_official_title_or_position": "DC",
        "authorized_official_telephone_number": "407-607-0099",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chiropractor in Haines City, FL
• Providers in Haines City, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2020; 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.