Provider Demographics
NPI:1558810317
Name:ELITE ORTHOPEDICS AND SPORTS MEDICINE PLLC
Entity type:Organization
Organization Name:ELITE ORTHOPEDICS AND SPORTS MEDICINE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DEENESH
Authorized Official - Middle Name:T
Authorized Official - Last Name:SAHAJPAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:352-509-3097
Mailing Address - Street 1:3101 SW 34TH AVE
Mailing Address - Street 2:#905-273
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-7447
Mailing Address - Country:US
Mailing Address - Phone:352-509-3097
Mailing Address - Fax:352-509-3129
Practice Address - Street 1:1333 SE 25TH LOOP
Practice Address - Street 2:UNIT 103
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-1072
Practice Address - Country:US
Practice Address - Phone:352-509-3097
Practice Address - Fax:352-509-3129
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-22
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports MedicineGroup - Multi-Specialty