Organization
EXCELLENCE MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NILDA ROSE ACOSTA MD (PRESIDENT CEO)
(305) 242-5336
Entity
Organization
Contact information
Practice address
1235 N KROME AVE, HOMESTEAD, FL 33030-4204
(305) 242-5336
(305) 242-5337
Mailing address
1235 N KROME AVE, HOMESTEAD, FL 33030-4204
(305) 242-5336
(305) 242-5337
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0061179
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264034100
—
FL
Enumeration date
06/16/2008
Last updated
06/16/2008
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