Organization
EXCELLENCE CARE FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO GUEVARA PMHNP (CEO/AMBR)
(786) 366-2050
Entity
Organization
Contact information
Practice address
4005 NW 114TH AVE UNIT 22, DORAL, FL 33178-4373
(786) 366-2050
Mailing address
14113 SW 161ST CT, MIAMI, FL 33196-6543
(786) 366-2050
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QC1500X
Community Health Clinic/Center
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/27/2021
Last updated
07/28/2025
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