| Excellence Medical Centers,llc | |
|
4304 Del Prado Blvd S Cape Coral FL 33904-7169 | |
| (239) 540-0800 | |
| (239) 540-0806 |
| Full Name | Excellence Medical Centers,llc |
|---|---|
| Speciality | General Practice |
| Location | 4304 Del Prado Blvd S, Cape Coral, Florida |
| Authorized Official Name and Position | Christine Mackie (OWNER) |
| Authorized Official Contact | 2395400800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellence Medical Centers,llc 4304 Del Prado Blvd S Cape Coral FL 33904-7169 Ph: (239) 540-0800 | Excellence Medical Centers,llc 4304 Del Prado Blvd S Cape Coral FL 33904-7169 Ph: (239) 540-0800 |
| NPI Number | 1629388319 |
|---|---|
| Provider Enumeration Date | 10/14/2010 |
| Last Update Date | 08/07/2020 |
| Medicare PECOS PAC ID | 4183806524 |
|---|---|
| Medicare Enrollment ID | O20110307000870 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629388319 | NPI | - | NPPES |
| 273771000 | Medicaid | FL | |
| 29322 | Other | FL | BC BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME94225 (Florida) | Primary |
| Provider Name | Christine M Mackie |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1437140126 PECOS PAC ID: 5496746992 Enrollment ID: I20051008000144 |
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