EXCELLENCE CARE FLORIDA LLC NPI 1013684992

NPI Information

NPI: 1013684992
Provider Name: EXCELLENCE CARE FLORIDA LLC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

CLIA Number: 10D2247206

Address:
7171 SW 62ND AVE
SOUTH MIAMI, FL
ZIP 33143
Phone: (786) 366-2050
Get Directions

EXCELLENCE CARE FLORIDA LLC is a psychiatric/mental health nurse practitioner in South Miami, FL. EXCELLENCE CARE FLORIDA LLC NPI is 1013684992. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

7171 SW 62ND AVE
SOUTH MIAMI, FL
ZIP 33143-723
Phone: (786) 366-2050

The provider's authorized official is Ernesto Guevara .
The authorized official title is President and has the following contact phone number (786) 366-2050.

The CLIA number assigned to this NPI record is 10D2247206 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2021 and was last updated on 5/19/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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