Provider Demographics
NPI:1437453255
Name:ELITE EYECARE SPECIALISTS
Entity Type:Organization
Organization Name:ELITE EYECARE SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RASHID
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAHER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:786-233-3937
Mailing Address - Street 1:3659 S MIAMI AVE
Mailing Address - Street 2:SUITE 4003
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33133-4227
Mailing Address - Country:US
Mailing Address - Phone:305-854-4430
Mailing Address - Fax:305-854-4065
Practice Address - Street 1:3659 S MIAMI AVE
Practice Address - Street 2:SUITE 4003
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33133-4227
Practice Address - Country:US
Practice Address - Phone:305-854-4430
Practice Address - Fax:305-854-4065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-08
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0042799207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL068241100Medicaid
D78988Medicare UPIN
FL96417Medicare PIN