MEDICARE: EXCEL PAIN AND SPINE LLC

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
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician

General Provider Information

NPI Number	:	1811603384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL PAIN AND SPINE LLC

Provider Business Mailing Address
First Line	:	3501 BESSIE COLEMAN BLVD UNIT 25201
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33622-9130
Country	:	US
Telephone Number	:	813-701-5804
Fax Number	:	813-291-7615

Provider Business Practice Location Address
First Line	:	26851 TANIC DR STE 102
Second Line	:
City	:	WESLEY CHAPEL
State	:	FL
Zip	:	33544-4614
Country	:	US
Telephone Number	:	813-701-5804
Fax Number	:	813-291-7615

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ARPIT A PATEL
Credential	:	MD
Telephone Number	:	813-701-5804

Provider Enumeration Date	:	01/27/2023
Last Update Date	:	01/27/2023

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