MEDICARE: EXCEL DIABETIC SERVICES, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1699862029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCEL DIABETIC SERVICES, LLC

Provider Business Mailing Address
First Line	:	7700 CONGRESS AVE
Second Line	:	SUITE 2108
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1352
Country	:	US
Telephone Number	:	561-995-8404
Fax Number	:

Provider Business Practice Location Address
First Line	:	7700 CONGRESS AVE
Second Line	:	SUITE 2108
City	:	BOCA RATON
State	:	FL
Zip	:	33487-1352
Country	:	US
Telephone Number	:	561-995-8404
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARCELO KOCHEN
Credential	:
Telephone Number	:	561-995-8404

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	08/22/2020

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Directions to “EXCEL DIABETIC SERVICES, LLC ” Practice Location

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