Elite Surgery Center, LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

ELITE SURGERY CENTER, LLC

Practice address

5301 4TH Ave Circle E
Bradenton, FL 34208

Phone

(941) 954-4500

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Melinda L Lacerna Kimbrell, M.D.

Title

Manager/Member

Phone

(941) 954-4500

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551916800000",
    "number": "1962960146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 4TH AVE CIRCLE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-954-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 4TH AVE CIRCLE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34208",
            "telephone_number": "941-954-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-03-07",
        "status": "A",
        "authorized_official_last_name": "LACERNA KIMBRELL",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER/MEMBER",
        "authorized_official_telephone_number": "941-954-4500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gina Eliason
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• Jovinsky Jonaldo Eliscard
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• Elite Sports Medicine and Recovery Center
• Jennifer Celeste Elkins, LMHC
• Varsha Devi Ellana, LCSW
• Huntyre Elling
• Aaron Hakan Ellingboe
• Christina Elliott, PHARMD

• Plastic Surgery Physician in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Plastic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.