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

Elite Renew Medical Group LLC

Organization Mental Health Counselor · NPI 1497610026

Elite Renew Medical Group LLC is a Mental Health Counselor in Miami Lakes, Florida. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
6
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

8786 NW 139th Ter
Miami Lakes, FL 33018-7378
Phone: (786) 609-2985
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Mental Health Counselor Taxonomy 101YM0800X
Family Medicine Physician Taxonomy 207Q00000X
Internal Medicine Physician Taxonomy 207R00000X
General Practice Physician Taxonomy 208D00000X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1497610026
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nadim Tellez — President · (305) 504-0711
NPI enumeratedDecember 16, 2025
Last updated in NPPESDecember 16, 2025
Certification dateDecember 16, 2025
Mailing address8786 Nw 139th Ter, Miami Lakes, FL 33018-7378

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