ELITE SURGERY CENTER, LLC (NPI# 1962960146) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962960146 |
| Entity Type | Organization |
| Organization Name | ELITE SURGERY CENTER, LLC |
| Practice Address | 5301 4th Ave Circle E Bradenton FL 34208 |
| Practice Telephone | 9419544500 |
| Mailing Address | 5301 4th Ave Circle E Bradenton FL 34208 |
| Mailing Telephone | 9419544500 |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2019-03-07 |
| Authorized Official Telephone | 9419544500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | Taxonomy Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396277208 | Elite Surgery Center, LLC | 38920 Trade Center Dr, Palmdale, CA 93551-3715 | 2017-03-30 |
| Street Address | 5301 4TH AVE CIRCLE E |
| City | BRADENTON |
| State | FL |
| Zip Code | 34208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740880566 | Michael Gerard Kulikowski | Pharmacist | 6225 E Sr 64, Bradenton, FL 34208 | 2020-10-30 |
| 1104431964 | Genesis Carrillo | Pharmacist | 4210 E, Fl-64, Bradenton, FL 34208 | 2020-09-09 |
| 1740777101 | Chinelo Uche | Student in an Organized Health Care Education/Training Program | 206 2nd St. E, Brandenton, FL 34208 | 2018-04-20 |
| 1396240040 | Nicholas Guy Ross | Student in an Organized Health Care Education/Training Program | 206 2nd St E., Bradenton, FL 34208 | 2018-03-26 |
| 1881196566 | Pinnacle Dental, Inc · Bradenton Family Dentistry | Dentist · General Practice | 5220 4th Ave. Circle E., Bradenton, FL 34208 | 2018-03-08 |
| 1194240176 | Bradenton Community Acupuncture | Acupuncturist | 5245 Office Park Blvd Suite 103, Bradenton, FL 34208 | 2017-08-10 |
| 1316490147 | Loretta Michele Deloach | Counselor · Mental Health | 515 27th St. S., Ste. 3, Bradenton, FL 34208 | 2016-07-28 |
| 1730548934 | Elodie Chimuanya Epane Kamdem | Dentist | Bright Now Dentalst, 650, 3611 1st Street, Suiyr, Bradenton, FL 34208 | 2016-02-16 |
| 1215303920 | Lesley Ann White | Driver | 45 Palmwood, Bradenton, FL 34208 | 2015-08-17 |
| 1164824694 | Bendji Thony · Bendji Thony | Nurse Practitioner · Family | 806 29th St Ct E, Bradenton, FL 34208 | 2014-09-16 |
| Find all providers in zip 34208 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902954720 | Melinda L Lacerna-Kimbrell | 219 N 18th St W, Bradenton, FL 34205-6846 | 2007-01-08 | |
| 1457385452 | Robin Rene Hamlin | 5105 Manatee Ave W, Suite 18, Bradenton, FL 34209-3715 | 2006-07-10 | |
| 1851955983 | Luminary Dermatology, Pa | 2101 61st St W, Bradenton, FL 34209-5528 | 2019-04-24 | |
| 1801148432 | Bradenton Plastic Surgery, P. A. | 1220 59th St W, Bradenton, FL 34209-4154 | 2012-10-05 | |
| 1194883702 | Daniel B Westawski | 2020 59th St W, Bradenton, FL 34209 | 2006-12-05 | |
| 1841372968 | Michael Martin Vanvliet | 2020 59th St W, Bradenton, FL 34209-4604 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811589500 | Nicole Galvin | 4601 Military Trl Ste 208, Jupiter, FL 33458-4837 | 2021-02-04 | |
| 1275166720 | Ph1 Miami | 8585 Sw 72nd St Ste 107, Miami, FL 33143-3746 | 2020-02-12 | |
| 1720619927 | Jhs Surgical Pavillion LLC | 3319 S State Road 7 Ste 107, Wellington, FL 33449-8099 | 2020-01-28 | |
| 1861048498 | Alexandra Conde Green Md Pa | 4788 N Citation Dr Apt 105, Delray Beach, FL 33445-6532 | 2019-08-09 | |
| 1962062885 | Zunilda Rodriguez Martinez | 7360 Sw 24th St, Miami, FL 33155-1498 | 2019-06-13 | |
| 1508335985 | Plastic Surgery Associates of Miami | 6541 Sw 76th Ter, South Miami, FL 33143-4656 | 2018-11-15 | |
| 1023592177 | Lake Mary Plastic and Cosmetic Surgery Pa | 934 Williston Park Pt Ste 1028, Lake Mary, FL 32746-2165 | 2018-09-24 | |
| 1790271096 | Rsm Plastic Surgery, Pa | 3300 W Lake Mary Blvd Ste 210, Lake Mary, FL 32746-3499 | 2018-07-10 | |
| 1609306877 | South Beach Plastic Surgery, P.a. | 1820 James Ave Apt 6d, Miami Beach, FL 33139-7462 | 2017-06-19 | |
| 1295278943 | Florida Dermatology Plastic Surgery LLC | 6559 N Wickham Rd, Suite 105, Melbourne, FL 32940-2039 | 2016-11-29 | |
| Find all providers in the same taxonomy | ||||
| City | BRADENTON |
| Zip Code | 34208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316455165 | Elite Outpatient Surgery Center Inc | Clinic/Center · Ambulatory Surgical | 2701 W Alameda Ave Ste 308, Burbank, CA 91505-4408 | 2018-01-15 |
| 1104220466 | Elite Surgery Center LLC | Clinic/Center · Ambulatory Surgical | 205 Mary Higginson Ln, Level 2, Uniontown, PA 15401-2658 | 2014-10-15 |
| 1902456213 | Elite Surgery Medical Group | Surgery | 38920 Trade Center Dr, Palmdale, CA 93551-3715 | 2019-09-18 |
| 1841858735 | Elite Ambulatory Surgery Center, LLC | Clinic/Center · Ambulatory Surgical | 10012 Manchester Rd, Saint Louis, MO 63122-1826 | 2019-06-05 |
| 1861715815 | Elite Center for Minimally Invasive Surgery | Clinic/Center · Ambulatory Surgical | 6655 Travis St, Houston, TX 77030-1312 | 2010-03-04 |
| 1558780130 | Elite Orthopedic and Spine Surgery Center, LLC | Clinic/Center · Ambulatory Surgical | 1605 Airport Fwy, Bedford, TX 76021-5730 | 2014-04-10 |
| 1205448750 | Elite Surgery Center of South Bay LLC | Clinic/Center · Ambulatory Surgical | 20528 Hawthorne Blvd Ste 301, Torrance, CA 90503-3202 | 2020-08-17 |
| 1972832418 | Elite Surgery Center of Texas, LLC | Clinic/Center · Ambulatory Surgical | 2100 West Loop S Ste 1200, Houston, TX 77027-3599 | 2009-12-11 |
| 1083864490 | Elite E.n.t. & Plastic Surgery Medical Center, Inc. | Otolaryngology · Otolaryngology/Facial Plastic Surgery | 13132 Magnolia St, Garden Grove, CA 92844-1326 | 2008-09-22 |
| 1609286947 | Jose Berger | Plastic Surgery | 3723 Hauck Rd, Elite Plastic Surgery Center, Cincinnati, OH 45241 | 2014-05-07 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.