Healthcare Provider Details

I. General information

NPI: 1427920883
Provider Name (Legal Business Name): XCELENCE MEDICAL CENTER CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14730 SW 56TH ST STE A
MIAMI FL
33185-4041
US

IV. Provider business mailing address

14730 SW 56TH ST STE A
MIAMI FL
33185-4041
US

V. Phone/Fax

Practice location:
  • Phone: 305-400-2302
  • Fax:
Mailing address:
  • Phone: 305-400-2302
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JULIO RODRIGUEZ
Title or Position: OWNER
Credential:
Phone: 786-818-5289