Healthcare Provider Details

I. General information

NPI: 1013239094
Provider Name (Legal Business Name): EXCEL HEALTH GROUP, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/18/2010
Last Update Date: 02/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3040 NE 16TH AVE A 205
OAKLAND PARK FL
33334-5207
US

IV. Provider business mailing address

3040 NE 16TH AVE A 205
OAKLAND PARK FL
33334-5207
US

V. Phone/Fax

Practice location:
  • Phone: 954-600-8328
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. SANTIAGO RESTREPO
Title or Position: PRESIDENT
Credential: M.S. OT
Phone: 954-600-8328