Provider Demographics
NPI:1508394446
Name:ELITE HOSPITALISTS OF SOUTH FL LLC
Entity Type:Organization
Organization Name:ELITE HOSPITALISTS OF SOUTH FL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:NANA
Authorized Official - Suffix:SR
Authorized Official - Credentials:MD
Authorized Official - Phone:305-894-6335
Mailing Address - Street 1:17395 N BAY RD STE 108
Mailing Address - Street 2:
Mailing Address - City:SUNNY ISLES BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33160-3307
Mailing Address - Country:US
Mailing Address - Phone:305-894-6335
Mailing Address - Fax:305-900-6202
Practice Address - Street 1:17395 N BAY RD
Practice Address - Street 2:
Practice Address - City:SUNNY ISLES BEACH
Practice Address - State:FL
Practice Address - Zip Code:33160-3334
Practice Address - Country:US
Practice Address - Phone:305-894-6335
Practice Address - Fax:305-900-6202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-23
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalistGroup - Single Specialty