# EXCELLENCE HEALTHCARE, CORP

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

## Provider details

- **NPI number:** 1790247104
- **Authorized official:** IDANIA HURTADO-PEREZ MD (PHYSICIAN/PRESIDENT)
- **Authorized official phone:** (786) 953-5009

## Contact information

- **Practice address:** 16239 SW 88TH ST, MIAMI, FL 33196-4912
- **Practice address phone:** (786) 953-5009
- **Practice address fax:** (305) 503-6777
- **Mailing address:** 15742 SW 100TH TER, MIAMI, FL 33196-6116
- **Mailing address phone:** (786) 953-5009

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/03/2019
- **Last updated:** 09/27/2021