Excelsior Medical Health Center Llc
LBN: Excelsior Medical Health Center Llc
Excelsior Medical Health Center Llc is an health care organization with primary practice located at 18441 Nw 2Nd Ave Ste 103 , Miami Gardens FL 33169-4517. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Excelsior Medical Health Center Llc can be contacted via phone (305) 650-1158, or through Fleuranvil, Geralda Phanor via phone (786) 564-9438.
Contact Information
Primary practice address
18441 Nw 2Nd Ave Ste 103
Miami Gardens FL 33169-4517
Phone: (305) 650-1158
Fax:
Website:
Authorized official contact:
Name: Fleuranvil, Geralda Phanor Physician's Assistant Certified (PA-C)
Phone: (786) 564-9438
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
Ambulatory Health Care Facilities / Primary Care | 261QP2300X | PA9104039 | Florida |
Profile Details
NPI number | 1710485255 |
---|---|
LBN Legal business name | Excelsior Medical Health Center Llc |
DBA Doing business as | |
Authorized official | Fleuranvil, Geralda Phanor Physician's Assistant Certified (PA-C) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Jan 30th, 2018 |
Last updated | Nov 9th, 2021 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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