Provider Demographics
NPI:1386913077
Name:ELITE MEDICAL CARE LLC
Entity type:Organization
Organization Name:ELITE MEDICAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:JUNAID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-499-3616
Mailing Address - Street 1:19046 BRUCE B DOWNS BLVD
Mailing Address - Street 2:#92
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-2434
Mailing Address - Country:US
Mailing Address - Phone:727-499-3616
Mailing Address - Fax:
Practice Address - Street 1:19046 BRUCE B DOWNS BLVD
Practice Address - Street 2:#92
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33647-2434
Practice Address - Country:US
Practice Address - Phone:727-499-3616
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-25
Last Update Date:2013-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 98682282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital