NPI 1457822793

Elite Life Sciences LLC

Organisation Medical Foods Supplier Miami, FL

Practice location

Address: 78 SW 7th St # 6-114, Miami, FL 33130-3402
Phone: (305) 741-0171
Mailing address: 102 NE 2nd St STE 112, Boca Raton, FL 33432-3908

Authorised official

Name: Michael Carbonara
Title: Manager
Phone: (305) 741-0171

Registered specialties

Medical Foods Supplier Primary

Suppliers Taxonomy 335G00000X

Other Medical Foods Supplier providers in Florida →

Registry record

NPI: 1457822793
Entity type: Organization
NPI issued: 16 Dec 2018
Record last updated: 16 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.