Organization
EXCELLENT MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXEI GOMEZ (PRESIDENT)
(786) 864-1030
Entity
Organization
Contact information
Practice address
12448 SW 127TH AVE, MIAMI, FL 33186-6596
(786) 864-1030
(305) 735-7666
Mailing address
12448 SW 127TH AVE, MIAMI, FL 33186-6596
(786) 864-1030
(305) 735-7666
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/19/2018
Last updated
04/20/2026
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