| Excellence Care Florida Llc | |
|
4005 Nw 114th Ave Unit 22 Doral FL 33178-4373 | |
| (786) 366-2050 | |
| Not Available |
| Full Name | Excellence Care Florida Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4005 Nw 114th Ave Unit 22, Doral, Florida |
| Authorized Official Name and Position | Ernesto Guevara (CEO/AMBR) |
| Authorized Official Contact | 7863662050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Care Florida Llc 14113 Sw 161st Ct Miami FL 33196-6543 Ph: (786) 366-2050 | Excellence Care Florida Llc 4005 Nw 114th Ave Unit 22 Doral FL 33178-4373 Ph: (786) 366-2050 |
| NPI Number | 1013684992 |
|---|---|
| Provider Enumeration Date | 08/27/2021 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/07/2024 |
| Medicare PECOS PAC ID | 3678971264 |
|---|---|
| Medicare Enrollment ID | O20211012003004 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013684992 | NPI | - | NPPES |
| Provider Name | Ernesto Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093342818 PECOS PAC ID: 5890115505 Enrollment ID: I20201019003232 |
| Provider Name | Maelia Y Rodriguez Garlobo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467115402 PECOS PAC ID: 7416339015 Enrollment ID: I20220728003009 |
| Provider Name | Yannet Manso Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699302505 PECOS PAC ID: 2365813342 Enrollment ID: I20230131000449 |
| Provider Name | Monica Estupinan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457034217 PECOS PAC ID: 7315391133 Enrollment ID: I20230928000232 |
| Provider Name | Monica Cristina Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427781442 PECOS PAC ID: 8224570288 Enrollment ID: I20240605001619 |
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