Organization
EXCLUSIVE MED CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENIEL PENA (OWNER/PRESIDENT)
(786) 308-6024
Entity
Organization
Contact information
Practice address
10818 SW 240TH ST, HOMESTEAD, FL 33032-4309
(786) 308-6024
Mailing address
10818 SW 240TH ST, HOMESTEAD, FL 33032-4309
(786) 308-6024
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2020
Last updated
08/18/2020
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