MEDICARE: EXCEL MEDICAL SUPPLIES 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1861659005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL MEDICAL SUPPLIES INC

Provider Business Mailing Address
First Line	:	1851 SW 176TH AVENUE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029
Country	:	US
Telephone Number	:	954-430-8416
Fax Number	:	954-499-1781

Provider Business Practice Location Address
First Line	:	1851 SW 176TH AVENUE
Second Line	:
City	:	MIRAMAR
State	:	FL
Zip	:	33029
Country	:	US
Telephone Number	:	954-430-8416
Fax Number	:	954-499-1781

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MS. DAISY BOGAERT-HEINSEN
Credential	:
Telephone Number	:	305-716-9582

Provider Enumeration Date	:	05/16/2008
Last Update Date	:	05/20/2008

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