Provider Demographics
NPI:1932806593
Name:ELITE PERFORMANCE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:ELITE PERFORMANCE CHIROPRACTIC LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:CECERE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-615-8789
Mailing Address - Street 1:5155 CORPORATE WAY STE E
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-4359
Mailing Address - Country:US
Mailing Address - Phone:201-615-8789
Mailing Address - Fax:
Practice Address - Street 1:600 HERITAGE DR STE 210
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-3097
Practice Address - Country:US
Practice Address - Phone:201-615-8789
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-13
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center