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General NPI Number Information
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NPI Number | 1396624268
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Entity Type | Organization
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Legal Business Name | ELITE PPEC INC
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Dates
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Enumeration Date | 08/27/2025
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Last Update Date | 09/04/2025
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Provider Practice Location Address
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Address Line | 411 S 21ST AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33020-5013
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Country | US
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Telephone | 754-263-2925
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Fax | 954-416-7963
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Provider Business Mailing Address
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Address Line | 411 S 21ST AVE
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City | HOLLYWOOD
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State | FL
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Zip | 33020-5013
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Country | US
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Telephone | 786-299-1926
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Fax | 954-416-7963
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | JONATHAN LEE SNYDERMAN
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Credential | DO
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Telephone | 786-251-9376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM3000X
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Taxonomy Name | Medically Fragile Infants and Children Day Care
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License Number |
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License Number State |
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