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General NPI Number Information
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NPI Number | 1336002112
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Entity Type | Organization
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Legal Business Name | ELITE FRACTURE CARE PLLC
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Dates
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Enumeration Date | 12/08/2025
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 17196 COURTLAND LN
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City | BOCA RATON
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State | FL
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Zip | 33496-5933
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Country | US
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Telephone | 561-213-9371
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Fax |
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Provider Business Mailing Address
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Address Line | 17196 COURTLAND LN
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City | BOCA RATON
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State | FL
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Zip | 33496-5933
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER PHYSICIAN
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Name | DR. RUSSELL DARREN WESIZ
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Credential | MD
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Telephone | 561-213-9371
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XX0801X
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Taxonomy Name | Orthopaedic Trauma Physician
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License Number |
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License Number State |
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