| Organization Name: | ECHELON-HEALTH, INC |
| NPI Number: | 1013344225 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TOMMY CG MCELROY (OWNER - PRESIDENT) |
| Mailing Address: | 1525 Vandervort Rd Lutz |
| State: | FL US |
| Postal Code: | 335495750 |
| Phone Number: | 8138925665 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2013 |
| NPI Last Update Date: | 10/02/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | ME102910 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |