Healthcare Provider Details

I. General information

NPI: 1871317917
Provider Name (Legal Business Name): ELEVATION HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2647 NARNIA WAY UNIT 101
LAND O LAKES FL
34638-7270
US

IV. Provider business mailing address

4306 W LEONA ST
TAMPA FL
33629-7716
US

V. Phone/Fax

Practice location:
  • Phone: 727-955-4500
  • Fax: 727-955-4550
Mailing address:
  • Phone: 727-955-4500
  • Fax: 727-955-4550

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: PETER JUSTIN ROSSI
Title or Position: OWNER
Credential: MD
Phone: 727-955-4500