# EXCELENCIA MEDICAL SUPPLY INC

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

## Provider details

- **NPI number:** 1740374495
- **Authorized official:** YUNIOR RODRIGUEZ (PRESIDENT)
- **Authorized official phone:** (305) 822-7866

## Contact information

- **Practice address:** 6073 NW 167TH ST, UNIT C7, HIALEAH, FL 33015-4336
- **Practice address phone:** (305) 822-7866
- **Mailing address:** 6073 NW 167TH ST, UNIT C7, HIALEAH, FL 33015-4336
- **Mailing address phone:** (305) 822-7866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | FL | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 07/21/2022