=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154280899
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ELEVATE METABOLIC HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/19/2026
-----------------------------------------------------
Last Update Date | 01/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12319 MARSHLAND ST
-----------------------------------------------------
City | RIVERVIEW
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33579-7714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-592-1530
-----------------------------------------------------
Fax | 231-216-7766
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12319 MARSHLAND ST
-----------------------------------------------------
City | RIVERVIEW
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33579-7714
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 813-592-1530
-----------------------------------------------------
Fax | 231-216-7766
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | NURSE PRACTITIONER
-----------------------------------------------------
Name | MENSIE SAINT-LOT
-----------------------------------------------------
Credential | APRN
-----------------------------------------------------
Telephone | 786-368-4161
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QP2300X
-----------------------------------------------------
Taxonomy Name | Primary Care Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------