Healthcare Provider Details
I. General information
NPI: 1497618557
Provider Name (Legal Business Name): ELITE HEALTH - WINTER HAVEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/05/2025
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
141 E CENTRAL AVE STE 410
WINTER HAVEN FL
33880-6340
US
IV. Provider business mailing address
141 E CENTRAL AVE STE 410
WINTER HAVEN FL
33880-6340
US
V. Phone/Fax
- Phone: 863-268-6100
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
RYAN
RAMOS
Title or Position: PHYSICIAN OWNER
Credential: MD
Phone: 201-887-4788