OrganizationActive
Elite Life Sciences LLC
NPI 1457822793 · Medical Foods Supplier · Miami, FL
Provider details
- NPI number
- 1457822793
- Entity type
- Organization
- Primary specialty
- Medical Foods SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Michael Carbonara, Manager(305) 741-0171
Specialties & taxonomies
Suppliers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
78 Sw 7th St # 6-114
Miami, FL 33130-3402
Phone: (305) 741-0171
Street-level locationGet directions
Mailing address
102 Ne 2nd St Ste 112
Boca Raton, FL 33432-3908
Registry dates
- Enumerated
- 2018-12-16
- Last updated
- 2018-12-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.