MEDICARE: EXCELLENT CARE BY ARNP

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	251J00000X	Nursing Care Agency	ARNP9388821	FL

General Provider Information

NPI Number	:	1841657913
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCELLENT CARE BY ARNP

Provider Business Mailing Address
First Line	:	4542 SW 127TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-4606
Country	:	US
Telephone Number	:	786-283-3204
Fax Number	:

Provider Business Practice Location Address
First Line	:	4542 SW 127TH CT
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33175-4606
Country	:	US
Telephone Number	:	786-283-3204
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MR. DOMINGO E BENITEZ
Credential	:	ARNP
Telephone Number	:	786-283-3204

Provider Enumeration Date	:	01/20/2016
Last Update Date	:	01/20/2016

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Directions to “EXCELLENT CARE BY ARNP ” Practice Location

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