Provider Demographics
NPI:1013344225
Name:ECHELON-HEALTH, INC
Entity Type:Organization
Organization Name:ECHELON-HEALTH, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER - PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOMMY
Authorized Official - Middle Name:CG
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-907-6300
Mailing Address - Street 1:2405 CREEL LN STE 102
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-4607
Mailing Address - Country:US
Mailing Address - Phone:813-907-6300
Mailing Address - Fax:
Practice Address - Street 1:1525 VANDERVORT RD
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-5750
Practice Address - Country:US
Practice Address - Phone:813-892-5665
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME102910261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care