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

Elite Ob-Gyn Surgery LLC

Organization Anesthesiology Physician · NPI 1407655822

Elite Ob-Gyn Surgery LLC is an Anesthesiology Physician in Orlando, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
8
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

801 N Orange Ave Ste 710
Orlando, FL 32801-5202
Phone: (407) 529-7752
Fax: (407) 459-7542
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Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X
Anesthesiology Physician Taxonomy 207L00000X
Obstetrics & Gynecology Physician Taxonomy 207V00000X
Gynecology Physician Taxonomy 207VG0400X
Orthopaedic Surgery Physician Taxonomy 207X00000X
Surgery Physician Taxonomy 208600000X
Urology Physician Taxonomy 208800000X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1407655822
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johnny Rivera — Administrator · (407) 529-7752
Other names Elite Ob/Gyn Surgery Llc
NPI enumeratedMarch 10, 2025
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address801 N Orange Ave Ste 710, Orlando, FL 32801-5202

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