OrganizationActive
Elite Spine LLC
NPI 1639698269 · Medical Specialty Clinic/Center · Port Orange, FL
Provider details
- NPI number
- 1639698269
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Rachel Nakayama, Owner(386) 872-2929
- License
- CH12049 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
800 Dunlawton Ave Ste 103
Port Orange, FL 32127-4249
Phone: (386) 265-0102
Fax: (386) 401-2316
Street-level locationGet directions
Mailing address
800 Dunlawton Ave Ste 103
Port Orange, FL 32127-4249
Registry dates
- Enumerated
- 2017-09-14
- Last updated
- 2021-10-04
- Certified
- 2021-10-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.