Provider Demographics
NPI:1265128540
Name:ELP MEDICAL LLC
Entity type:Organization
Organization Name:ELP MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEALTHCARE PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARCO
Authorized Official - Middle Name:
Authorized Official - Last Name:MORE
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP, ARNP
Authorized Official - Phone:561-303-5682
Mailing Address - Street 1:9105 SEDGEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33467-6990
Mailing Address - Country:US
Mailing Address - Phone:786-707-6416
Mailing Address - Fax:
Practice Address - Street 1:9962 LAGO DR
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33472-2770
Practice Address - Country:US
Practice Address - Phone:561-303-5682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-11
Last Update Date:2023-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty