EXCELLENCE MEDICAL & RESEARCH NPI 1700596541

NPI Information

NPI: 1700596541
Provider Name: EXCELLENCE MEDICAL & RESEARCH
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 10D2225947

Address:
111 NW 183RD ST STE 206
MIAMI GARDENS, FL
ZIP 33169
Phone: (786) 320-5229
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EXCELLENCE MEDICAL & RESEARCH is a family nurse practitioner in Miami Gardens, FL. EXCELLENCE MEDICAL & RESEARCH NPI is 1700596541. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

111 NW 183RD ST STE 206
MIAMI GARDENS, FL
ZIP 33169-579
Phone: (786) 320-5229
Fax: (786) 320-5279

The provider's authorized official is Miguel Angel Trujillo Perez .
The authorized official title is Nurse Practitioner and has the following contact phone number (714) 931-9877.

The CLIA number assigned to this NPI record is 10D2225947 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/2/2022 and was last updated on 12/2/2022.

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			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: 5/5/2024

NPI Synchronization or Removal

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