Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Medical Providers LLC

Organization Family Medicine Physician · NPI 1003642877

Elite Medical Providers LLC provides Family Medicine Physician services in Port Saint Lucie, Florida. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1701 SE Hillmoor Dr # 17
Port Saint Lucie, FL 34952-7552
Phone: (772) 207-0697
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1003642877
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Francine Costello — Accountant · (772) 528-9991
NPI enumeratedSeptember 10, 2024
Last updated in NPPESSeptember 10, 2024
Certification dateSeptember 10, 2024
Mailing address1701 Se Hillmoor Dr # 17, Port Saint Lucie, FL 34952-7552

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