ELITE WOMENS CARE
NPI 1336702109
Obstetrics & Gynecology - Gynecology in Brooksville, FL

NPI Status: Active since April 17, 2019

Contact Information

11319 CORTEZ BLVD
BROOKSVILLE, FL
ZIP 34613
Phone: (352) 597-0907

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Obstetrics & Gynecology
Gynecology
CLIA Number: 10D2165250
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 04-22-2027

About ELITE WOMENS CARE

This page provides the complete NPI Profile along with additional information for Elite Womens Care, a women's health care provider established in Brooksville, Florida operating as a Obstetrics & Gynecology, focusing in gynecology . The healthcare provider is registered in the NPI registry with number 1336702109 assigned on April 2019. The practitioner's primary taxonomy code is 207VG0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Johannes Wijnmaalen (Cfo)

NPI: 1336702109
Provider Name: ELITE WOMENS CARE
Entity Type: Organization
Location Address: 11319 CORTEZ BLVD BROOKSVILLE, FL 34613
Location Phone: (352) 597-0907
Mailing Address: 11319 CORTEZ BLVD BROOKSVILLE, FL 34613
Mailing Phone: (352) 597-0907
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 04-17-2019
Last Update Date: 04-17-2019
Code Navigator

Women's health care providers like Elite Womens Care treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Obstetrics & Gynecology Gynecology
Taxonomy Code: 207VG0400X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: JOHANNES WIJNMAALEN
Authorized Official Title: CFO
Authorized Official Phone: (352) 597-0907

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number: 10D2165250
Facility Type: Physician Office
Certificate Effective Date: April 23, 2025
Certificate Expiration Date: April 22, 2027
Laboratory Director: LAUREN D. JUYIA
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Elite Womens Care to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	3	3	6	7	0	2	1	0	9
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	3	6	6	14	0	4	1	0
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 4 + 0 + 4 + 1 + 0 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 9									9

The NPI number 1336702109 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.