Healthcare Provider Details

I. General information

NPI: 1013737600
Provider Name (Legal Business Name): XCELLENCE HEALTH SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2024
Last Update Date: 10/16/2024
Certification Date: 10/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8060 NW 155TH ST STE 100
MIAMI LAKES FL
33016-5883
US

IV. Provider business mailing address

8060 NW 155TH ST STE 100
MIAMI LAKES FL
33016-5883
US

V. Phone/Fax

Practice location:
  • Phone: 786-509-2012
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: YITSY SERRANO
Title or Position: OWNER
Credential:
Phone: 786-509-2012