Organization · Type 2 NPI
Elite Renew Medical Group LLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Miami Lakes, FL
NPI number
1497610026
Active
Practice location
8786 NW 139th Ter
Miami Lakes, FL 33018-7378
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | None listed |
| Family Medicine Physician | 207Q00000X | None listed |
| Internal Medicine Physician | 207R00000X | None listed |
| General Practice Physician | 208D00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
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About NPI 1497610026
Elite Renew Medical Group LLC's National Provider Identifier is 1497610026, issued on Dec 16, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Miami Lakes, FL. The record was last updated on Dec 16, 2025.