Provider Demographics
NPI:1720869134
Name:ELITE CARE MANAGEMENT OF FLORIDA, LLC
Entity Type:Organization
Organization Name:ELITE CARE MANAGEMENT OF FLORIDA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALT ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN MSN
Authorized Official - Phone:941-404-5760
Mailing Address - Street 1:6151 LAKE OSPREY DRIVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34240
Mailing Address - Country:US
Mailing Address - Phone:941-404-5760
Mailing Address - Fax:630-708-2706
Practice Address - Street 1:6151 LAKE OSPREY DRIVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240
Practice Address - Country:US
Practice Address - Phone:941-404-5760
Practice Address - Fax:630-708-2706
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-11
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health