Healthcare Provider Details

I. General information

NPI: 1356774996
Provider Name (Legal Business Name): ELITE DIABETES AND ENDOCRINE SPECIALISTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2013
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2900 N MILITARY TRL STE 205
BOCA RATON FL
33431-6308
US

IV. Provider business mailing address

2900 N MILITARY TRL STE 205
BOCA RATON FL
33431-6308
US

V. Phone/Fax

Practice location:
  • Phone: 561-235-5980
  • Fax: 855-364-4963
Mailing address:
  • Phone: 561-235-5980
  • Fax: 855-364-4963

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberME83403
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: DR. EDNA TOKAYER
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 561-235-5980