1. Home
  2. Directory
  3. Florida
  4. Port Orange
  5. Clinic Center
  6. NPI Profile

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: August 09, 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
Phone(386) 265-0102
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
Open in Google Maps ↗

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.

GRIMES NEUROLOGY AND CONCUSSION CENTER, P.A.
Psychiatry & Neurology (Neurology)
800 DUNLAWTON AVE STE 103
PORT ORANGE, FL 32127
Volusia County (386) 679-3270
MILLAN MIGUEL GARCIA DC
Chiropractor
800 DUNLAWTON AVE STE 103
PORT ORANGE, FL 32127
Volusia County (386) 265-0102
LUKE BARKLEY
Chiropractor
800 DUNLAWTON AVE STE 103
PORT ORANGE, FL 32127
Volusia County (386) 265-0102

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 Spine LLC's NPI number?

The NPI number for Elite Spine LLC is 1639698269. It was assigned to this organization in the NPPES registry on September 14, 2017.

Where is Elite Spine LLC located?

Elite Spine LLC is located at 800 Dunlawton Ave Ste 103, Port Orange, FL 32127. The listed phone number is (386) 265-0102.

What is Elite Spine LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Elite Spine LLC was last updated on October 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.