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ELITE MEDICINE, LLC
NPI 1083420228
Internal Medicine in Jacksonville, FL

Active since December 03, 2024CLIA 10D2321743 · Waiver
13241 BARTRAM PARK BLVD UNIT 713, JACKSONVILLE, FL 32258(904) 770-9581(732) 561-1788 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elite Medicine, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE MEDICINE, LLC (NPI 1083420228) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since December 2024. The organization holds a CLIA Waiver certificate valid through April 8, 2027 and lists Xavier Blanco, Owner, as its authorized official.

NPPES Registry Identity

NPI1083420228
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameELITE MEDICINE, LLC
Location Address13241 BARTRAM PARK BLVD UNIT 713Jacksonville, FL 32258-5215
Mailing Address13241 Bartram Park Blvd Unit 713Jacksonville, FL 32258-5215
Phone(904) 770-9581
Fax(732) 561-1788
Organization SubpartNo
Authorized OfficialXavier BlancoOwner · (352) 647-7655
Enumeration DateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
✔ NPI 1083420228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
13241 BARTRAM PARK BLVD UNIT 713, Jacksonville, FL 32258
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2321743

Elite Medicine LLC · Jacksonville, FL
Active · expires Apr 8, 2027
CLIA Number10D2321743
Laboratory TypePhysician Office
Certificate Effective DateApril 9, 2025
Certificate Expiration DateApril 8, 2027
Laboratory DirectorXavier Blanco Criado MD
Laboratory Phone(904) 770-9581
Laboratory LocationElite Medicine LLC13241 Bartram Park Blvd, Suite 713, Jacksonville, FL 32258
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XAVIER BLANCO CRIADO MD
Internal Medicine
13241 BARTRAM PARK BLVD UNIT 713
JACKSONVILLE, FL 32258
Duval County (904) 770-9581

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elite Medicine, LLC's NPI number?

The NPI number for Elite Medicine, LLC is 1083420228. It was assigned to this organization in the NPPES registry on December 3, 2024.

Where is Elite Medicine, LLC located?

Elite Medicine, LLC is located at 13241 Bartram Park Blvd Unit 713, Jacksonville, FL 32258. The listed phone number is (904) 770-9581.

What is Elite Medicine, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Elite Medicine, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2321743) is associated with this NPI, valid through April 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Elite Medicine, LLC was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.