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Contact Information

ELITE SURGERY CENTER, LLC
5301 4TH AVE CIRCLE E
BRADENTON, FL34208
 Phone: 941-954-4500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Plastic Surgery

208200000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for ELITE SURGERY CENTER, LLC

NPI Number 1962960146
LBN Legal business name ELITE SURGERY CENTER, LLC
Authorized official MELINDA LACERNA KIMBRELL - (MANAGER/MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/07/2019
Last updated 03/07/2019 - About 7 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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