Provider Demographics
NPI:1962365338
Name:ELITE MEDICAL CENTER KEY WEST PA
Entity type:Organization
Organization Name:ELITE MEDICAL CENTER KEY WEST PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:YASKIN
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:305-523-9787
Mailing Address - Street 1:16442 NE 31ST AVE
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-4135
Mailing Address - Country:US
Mailing Address - Phone:305-523-9787
Mailing Address - Fax:754-310-1422
Practice Address - Street 1:828 WHITE ST STE 3
Practice Address - Street 2:
Practice Address - City:KEY WEST
Practice Address - State:FL
Practice Address - Zip Code:33040-7197
Practice Address - Country:US
Practice Address - Phone:305-523-9787
Practice Address - Fax:754-310-1422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-12-03
Last Update Date:2025-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center