# EXCELLENCE CARE FLORIDA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013684992
- **Authorized official:** ERNESTO GUEVARA PMHNP (CEO/AMBR)
- **Authorized official phone:** (786) 366-2050

## Contact information

- **Practice address:** 4005 NW 114TH AVE UNIT 22, DORAL, FL 33178-4373
- **Practice address phone:** (786) 366-2050
- **Mailing address:** 14113 SW 161ST CT, MIAMI, FL 33196-6543
- **Mailing address phone:** (786) 366-2050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | — |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 08/27/2021
- **Last updated:** 07/28/2025