Elite Med Spa by a&G Corp

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

ELITE MED SPA BY A&G CORP

Practice address

10780 W Flagler St Ste 11
Miami, FL 33174-4403

Phone

(786) 296-9977

NPI assigned

Jul 18, 2025

Organization subpart

No

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

Authorized official

Name

Gaudencia Gomez

Title

President/Owner

Phone

(786) 296-9977

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1752796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752796800000",
    "number": "1962394353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10780 W FLAGLER ST STE 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744403",
            "telephone_number": "786-296-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10780 W FLAGLER ST STE 11",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331744403",
            "telephone_number": "786-296-9977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MED SPA BY A&G CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-18",
        "last_updated": "2025-07-18",
        "certification_date": "2025-07-18",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "GAUDENCIA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "786-296-9977"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elite Home Care Now LLC
• Elite Home Practice, LLC
• Elite Kids Behavior Support LLC
• Elite Life Sciences LLC
• Elite Med Center Corp
• Elite Medical Laboratories, LLC
• Elite Medical Office Corp
• Elite Medical Services Center,Inc
• Elite Medical Services, Inc.
• Elite Medical Treatment

• Multi-Specialty Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Multi-Specialty Clinic/Center in Florida

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