Provider Demographics
NPI:1376332601
Name:ELITE CHIROCARE AND INJURY RECOVERY PLLC
Entity type:Organization
Organization Name:ELITE CHIROCARE AND INJURY RECOVERY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FOUAD
Authorized Official - Middle Name:
Authorized Official - Last Name:RAAD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-491-0551
Mailing Address - Street 1:4126 8TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33713-6328
Mailing Address - Country:US
Mailing Address - Phone:716-491-0551
Mailing Address - Fax:
Practice Address - Street 1:3637 4TH ST N STE 290
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33704-1300
Practice Address - Country:US
Practice Address - Phone:716-491-0551
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty