Healthcare Provider Details

I. General information

NPI: 1336002112
Provider Name (Legal Business Name): ELITE FRACTURE CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17196 COURTLAND LN
BOCA RATON FL
33496-5933
US

IV. Provider business mailing address

17196 COURTLAND LN
BOCA RATON FL
33496-5933
US

V. Phone/Fax

Practice location:
  • Phone: 561-213-9371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207XX0801X
TaxonomyOrthopaedic Trauma Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. RUSSELL DARREN WESIZ
Title or Position: OWNER PHYSICIAN
Credential: MD
Phone: 561-213-9371