Healthcare Provider Details

I. General information

NPI: 1366207649
Provider Name (Legal Business Name): EXCEL PAIN AND SPINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/16/2024
Last Update Date: 02/16/2024
Certification Date: 02/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1749 6TH ST NW
WINTER HAVEN FL
33881-2301
US

IV. Provider business mailing address

3501 BESSIE COLEMAN BLVD UNIT 25201
TAMPA FL
33622-9130
US

V. Phone/Fax

Practice location:
  • Phone: 813-701-5804
  • Fax: 813-291-7615
Mailing address:
  • Phone: 813-701-5804
  • Fax: 813-291-7615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081P2900X
TaxonomyPain Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. ARPIT A PATEL
Title or Position: OWNER
Credential: DO
Phone: 813-701-5804