Organization
EXCELLENT HEALTH MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HERMELINDA OLIVIA ROMERO (OWNER)
(786) 707-9958
Entity
Organization
Contact information
Practice address
4620 N HABANA AVE STE 202, TAMPA, FL 33614-7107
(786) 707-9958
Mailing address
4620 N HABANA AVE STE 202, TAMPA, FL 33614-7107
(786) 707-9958
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102996200
—
FL
Enumeration date
10/17/2018
Last updated
07/26/2022
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