Provider Demographics
NPI:1740802396
Name:PRIORITY ELITE MANAGEMENT
Entity Type:Organization
Organization Name:PRIORITY ELITE MANAGEMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JUVANE
Authorized Official - Middle Name:R
Authorized Official - Last Name:HYLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-537-4132
Mailing Address - Street 1:1169 HERON AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33166-3118
Mailing Address - Country:US
Mailing Address - Phone:786-537-4132
Mailing Address - Fax:
Practice Address - Street 1:1169 HERON AVE
Practice Address - Street 2:
Practice Address - City:MIAMI SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33166-3118
Practice Address - Country:US
Practice Address - Phone:786-537-4132
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-16
Last Update Date:2020-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)