Organization
EXCELLENCE MEDICAL CENTERS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE MACKIE M.D. (OWNER)
(239) 540-0800
Entity
Organization
Contact information
Practice address
4304 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7169
(239) 540-0800
(239) 540-0806
Mailing address
4304 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7169
(239) 540-0800
(239) 540-0806
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME94225
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273771000
—
FL
01
—
29322
BC BS
FL
Enumeration date
10/14/2010
Last updated
08/07/2020
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