Organization
EXCELLENCE HEALTHCARE, CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IDANIA HURTADO-PEREZ MD (PHYSICIAN/PRESIDENT)
(786) 953-5009
Entity
Organization
Contact information
Practice address
16239 SW 88TH ST, MIAMI, FL 33196-4912
(786) 953-5009
(305) 503-6777
Mailing address
15742 SW 100TH TER, MIAMI, FL 33196-6116
(786) 953-5009
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/03/2019
Last updated
09/27/2021
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