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

Elite Spine LLC

Organization Medical Specialty Clinic/Center · NPI 1639698269

Elite Spine LLC is a Medical Specialty Clinic/Center in Port Orange, Florida. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
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

800 Dunlawton Ave Ste 103
Port Orange, FL 32127-4249
Phone: (386) 265-0102
Fax: (386) 401-2316
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Specialty Clinic/Center (primary) Taxonomy 261QM2500X · Licence CH12049 (FL)

Record details

NPI number1639698269
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rachel Nakayama — Owner · (386) 872-2929
NPI enumeratedSeptember 14, 2017
Last updated in NPPESOctober 4, 2021
Certification dateOctober 4, 2021
Mailing address800 Dunlawton Ave Ste 103, Port Orange, FL 32127-4249

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