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General NPI Number Information
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NPI Number | 1669775870
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Entity Type | Organization
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Legal Business Name | EXCLUSIVE HEALTHCARE CENTER
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 7902 NW 36TH ST STE 206
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City | DORAL
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State | FL
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Zip | 33166-6663
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Country | US
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Telephone | 305-639-2989
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Fax | 305-639-8986
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Provider Business Mailing Address
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Address Line | 7902 NW 36TH ST STE 206
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City | DORAL
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State | FL
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Zip | 33166-6663
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Country | US
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Telephone | 305-639-2989
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Fax | 305-639-8986
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Authorized Official
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Title or Position | PRESIDENT
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Name | YARAIS ARCE
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Credential |
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Telephone | 305-639-2989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | HCC8820
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License Number State | FL
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