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NPI Code Detail

MEDICARE: XCELLENT MEDICAL SERVICES INC

MEDICARE: XCELLENT MEDICAL SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1538186523
Entity Type Code : Organization
Provider Name (Legal Business Name) : XCELLENT MEDICAL SERVICES INC
Provider Business Mailing Address
First Line : 3900 W FLAGLER ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1608
Country : US
Telephone Number : 305-476-0069
Fax Number : 305-476-0070
Provider Business Practice Location Address
First Line : 3900 W FLAGLER ST
Second Line :
City : CORAL GABLES
State : FL
Zip : 33134-1608
Country : US
Telephone Number : 305-476-0069
Fax Number : 305-476-0070
Authorized Official
Title or Position : PRESIDENT
Name : MRS. MARIA PEREZ
Credential :
Telephone Number : 305-476-0069
Provider Enumeration Date : 07/16/2006
Last Update Date : 08/30/2007

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Directions to “XCELLENT MEDICAL SERVICES INC ” Practice Location

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