OrganizationActive
Elite Health and Wellness Center LLC
NPI 1780168906 · Primary Care Clinic/Center · Port Saint Lucie, FL
Provider details
- NPI number
- 1780168906
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lois Cassle, Arnp(772) 777-8233
Specialties & taxonomies
Ambulatory Health Care Facilities
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
264 Nw Peacock Blvd Ste 103
Port Saint Lucie, FL 34986-2272
Phone: (772) 777-8233
Fax: (772) 673-7710
Street-level locationGet directions
Mailing address
264 Nw Peacock Blvd Ste 103
Port Saint Lucie, FL 34986-2272
Registry dates
- Enumerated
- 2018-09-24
- Last updated
- 2018-09-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.