# EXCEL NEUROTECH INC

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

## Provider details

- **NPI number:** 1932363785
- **Authorized official:** MARTA FIALLO (PRESIDENT)
- **Authorized official phone:** (786) 512-4902

## Contact information

- **Practice address:** 250 187TH ST, SUNNY ISLES BEACH, FL 33160-2434
- **Practice address phone:** (786) 512-4902
- **Practice address fax:** (305) 274-0692
- **Mailing address:** 250 187TH ST, SUNNY ISLES BEACH, FL 33160-2434
- **Mailing address phone:** (786) 512-4902
- **Mailing address fax:** (305) 274-0692

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | — | NULL | Yes |
| 2085D0003X | Diagnostic Neuroimaging (Radiology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2008
- **Last updated:** 07/10/2008