Excellence Medical Center
General Practice in Homestead, FL. Organization (NPI-2).
NPI number1740440577
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1740440577
- Entity type
- Organization (NPI-2)
- Legal business name
- Excellence Medical Center
- Organization subpart
- No
- Enumeration date
- Jun 16, 2008
- Last updated
- Jun 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208D00000X | General Practice | ME0061179 | FL | Yes |
Practice location
1235 N Krome AveHomestead, FL 33030-4204
Phone 305-242-5336 · Fax 305-242-5337
Mailing address
1235 N Krome AveHomestead, FL 33030-4204
Phone 305-242-5336 · Fax 305-242-5337
Authorized official
Nilda Rose Acosta
President Ceo
3052425336
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