MEDICARE: INNOVATE HEALTH ASSOCIATES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2300X	Primary Care Clinic/Center
2	261QH0100X	Health Service Clinic/Center

General Provider Information

NPI Number	:	1588511026
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNOVATE HEALTH ASSOCIATES LLC

Provider Business Mailing Address
First Line	:	5749 WESTGATE DR STE 206
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-5040
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5749 WESTGATE DR STE 206
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32835-5040
Country	:	US
Telephone Number	:	407-237-9618
Fax Number	:

Authorized Official
Title or Position	:	BUSINESS PARTNER
Name	:	ELAINE DE CARVALHO MACEDO
Credential	:
Telephone Number	:	689-332-7801

Provider Enumeration Date	:	03/13/2026
Last Update Date	:	03/13/2026

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