MEDICARE: XCELENCE MEDICAL CENTER CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1427920883
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	XCELENCE MEDICAL CENTER CORP.

Provider Business Mailing Address
First Line	:	14730 SW 56TH ST STE A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4041
Country	:	US
Telephone Number	:	305-400-2302
Fax Number	:

Provider Business Practice Location Address
First Line	:	14730 SW 56TH ST STE A
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33185-4041
Country	:	US
Telephone Number	:	305-400-2302
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. JULIO RODRIGUEZ
Credential	:
Telephone Number	:	786-818-5289

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	09/23/2025

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