Organization
EXCELLIFE INTEGRATIVE CARE, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARIEL DIAZ (PRESIDENT/ADMINISTRATOR)
(727) 312-4042
Entity
Organization
Contact information
Practice address
4774 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-4944
(727) 297-9779
Mailing address
4772 US HIGHWAY 19, NEW PORT RICHEY, FL 34652-4944
(727) 297-9779
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
—
—
Other
Enumeration date
01/13/2023
Last updated
11/24/2023
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