Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Elite Gastro PLLC

Organization Dermatology Physician · NPI 1093410391

Elite Gastro PLLC is a Dermatology Physician in Tampa, Florida. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3709 W Hamilton Ave Ste 5
Tampa, FL 33614-4015
Phone: (813) 932-4430
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X
Dermatology Physician Taxonomy 207N00000X

Record details

NPI number1093410391
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mina Elnemr — Owner · (239) 405-0361
NPI enumeratedApril 4, 2023
Last updated in NPPESJune 9, 2023
Certification dateJune 9, 2023
Mailing address19723 Wellington Manor Blvd, Lutz, FL 33549-5011

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