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EXCELLENCE MEDICAL GROUP CORP NPI 1497049423


NPI Information

NPI: 1497049423
Provider Name: EXCELLENCE MEDICAL GROUP CORP
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Organization

Specialization: Psychiatry

CLIA Number: 10D2029095

Address:
7959 NW 2ND ST
MIAMI, FL
ZIP 33126
Phone: (305) 267-6060
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EXCELLENCE MEDICAL GROUP CORP is a psychiatry psychiatry neurology in Miami, FL. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. EXCELLENCE MEDICAL GROUP CORP NPI is 1497049423. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7959 NW 2ND ST
MIAMI, FL
ZIP 33126-000
Phone: (305) 267-6060
Fax: (305) 267-6055

The provider's authorized official is Barbara Suarez .
The authorized official title is Owner and has the following contact phone number (305) 267-6060.

The CLIA number assigned to this NPI record is 10D2029095 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/7/2011 and was last updated on 9/8/2022.


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
1208D00000XGeneral PracticeNo
2225100000XPhysical TherapistNo
3261Q00000XClinic/CenterHCC9122FLORIDANo
4261Q00000XClinic/CenterNo
5261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
62084P0800XPsychiatry & NeurologyPsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FILE 9666OTHERFLORIDAAHCA HCC UNIT

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

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