Organization
ID EXCELLENTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDIKA UZO (OWNER)
(469) 257-3500
Entity
Organization
Contact information
Practice address
28908 ORANGE BERRY DR, WESLEY CHAPEL, FL 33543-7423
(469) 257-3500
Mailing address
28908 ORANGE BERRY DR, WESLEY CHAPEL, FL 33543-7423
(469) 257-3500
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
11/11/2025
Last updated
11/11/2025
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