Provider Demographics
NPI:1942736400
Name:ELITE THERAPY GROUP, INC
Entity type:Organization
Organization Name:ELITE THERAPY GROUP, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YAREL
Authorized Official - Middle Name:M
Authorized Official - Last Name:TORAL SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-381-5123
Mailing Address - Street 1:2550 NW 72ND AVE
Mailing Address - Street 2:SUITE 208
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33122
Mailing Address - Country:US
Mailing Address - Phone:305-381-5123
Mailing Address - Fax:305-381-5476
Practice Address - Street 1:2550 NW 72ND AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33122
Practice Address - Country:US
Practice Address - Phone:305-381-5123
Practice Address - Fax:305-381-5476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-03
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty