Provider Demographics
NPI:1669934899
Name:ELITE SURGICAL INSTITUTE LLC
Entity type:Organization
Organization Name:ELITE SURGICAL INSTITUTE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAVINIU
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGHEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-507-4515
Mailing Address - Street 1:3150 INVERNESS
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33332-1816
Mailing Address - Country:US
Mailing Address - Phone:954-507-4494
Mailing Address - Fax:954-507-4515
Practice Address - Street 1:1601 TOWN CENTER CIRCLE SUITE B
Practice Address - Street 2:
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-3636
Practice Address - Country:US
Practice Address - Phone:954-507-4494
Practice Address - Fax:954-507-4515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-05
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Multi-Specialty
No208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty