ELITE SPINE LLC
NPI 1639698269
Clinic/Center - Medical Specialty in Port Orange, FL

Active since September 14, 2017
800 DUNLAWTON AVE STE 103, PORT ORANGE, FL 32127(386) 265-0102(386) 401-2316 Get Directions Write a Review

NPPES record last updated: October 4, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 4, 2021, Sep 14, 2017 (2 updates tracked since 2017).

About Elite Spine Llc NPPES

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

ELITE SPINE LLC (NPI 1639698269) is a healthcare organization registered as a medical specialty in Port Orange, Florida and active in the NPI registry since September 2017. The organization lists Rachel Nakayama, Owner, as its authorized official.

NPPES Registry Identity

NPI1639698269
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameELITE SPINE LLC
Location Address800 DUNLAWTON AVE STE 103Port Orange, FL 32127-4249
Mailing Address800 Dunlawton Ave Ste 103Port Orange, FL 32127-4249 · (386) 265-0102 · Fax (386) 401-2316
Fax(386) 401-2316
Organization SubpartNo
Authorized OfficialRachel NakayamaOwner · (386) 872-2929
Enumeration DateSeptember 14, 2017
Last NPPES UpdateOctober 4, 20212 updates tracked since enumeration
NPPES CertifiedOctober 4, 2021
NPI 1639698269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in FL · CH12049
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

800 DUNLAWTON AVE STE 103, Port Orange, FL 32127

Other Identifiers 1

Medicaid1295271344FL

Other Providers at the Same Location NPPES 3

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

Psychiatry & Neurology (Neurology)
800 DUNLAWTON AVE STE 103
PORT ORANGE, FL 32127
Chiropractor
800 DUNLAWTON AVE STE 103
PORT ORANGE, FL 32127
Chiropractor
800 DUNLAWTON AVE STE 103
PORT ORANGE, FL 32127

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639698269, enumerated as an "organization" on September 14, 2017.

The provider is located at 800 DUNLAWTON AVE STE 103 PORT ORANGE, FL 32127 and the phone number is (386) 265-0102.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.