Healthcare Provider Details

I. General information

NPI: 1700545787
Provider Name (Legal Business Name): EXCEL PAIN AND SPINE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 12/17/2021
Certification Date: 12/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 AVENUE K SE STE 9
WINTER HAVEN FL
33880-4123
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: MD
Phone: 813-701-5804