Active NPI
Excellence Care Florida LLC
- Community Health Clinic/Center
- Doral, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Clinic/Center
- Legal business name
- EXCELLENCE CARE FLORIDA LLC
- Practice address
- 4005 NW 114TH Ave Unit 22
Doral, FL 33178-4373 - Phone
- (786) 366-2050
- NPI assigned
- Aug 27, 2021
- Last updated
- Jul 28, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ernesto Guevara, PMHNP
- Title
- Ceo/Ambr
- Phone
- (786) 366-2050
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | |||
| Community Health Clinic/Center | 261QC1500X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Family Nurse Practitioner | 363LF0000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
4005 NW 114TH Ave Unit 22
Doral, FL 33178-4373
Mailing address
14113 SW 161St CT
Miami, FL 33196-6543
Phone (786) 366-2050
Other practice location 1
7171 SW 62nd Ave
South Miami, FL 33143-4723
Phone (786) 366-2050
Other practice location 2
1469 NW 36th St
Miami, FL 33142-5557
Phone (786) 366-2050
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2314125 | Excellence Care Florida LLC | Certificate of waiver | Nov 13, 2026 |
National Provider Directory
National Provider DirectoryLocations
7171 SW 62nd Ave
South Miami, FL 33143
Phone (305) 270-5305
Networks
- HealthSun Health Plans Network
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
- NPI 1063270783
-
- Marriage & Family Therapist
- Miami, FL
- NPI 1669204582
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1851760060
Family
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1770340846
-
- Psychiatric/Mental Health Nurse Practitioner
- Hialeah, FL
- NPI 1073240032
Family
-
- Family Nurse Practitioner
- Hialeah Gardens, FL
- NPI 1437846037
-
- Family Nurse Practitioner
- Doral, FL
- NPI 1962115675
-
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
- NPI 1124452339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753660800000",
"number": "1013684992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14113 SW 161ST CT",
"city": "MIAMI",
"state": "FL",
"postal_code": "331966543",
"telephone_number": "786-366-2050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4005 NW 114TH AVE UNIT 22",
"city": "DORAL",
"state": "FL",
"postal_code": "331784373",
"telephone_number": "786-366-2050"
}
],
"practiceLocations": [
{
"address_1": "7171 SW 62nd Ave",
"address_purpose": "LOCATION",
"city": "South Miami",
"state": "FL",
"postal_code": "331434723",
"country_code": "US",
"telephone_number": "786-366-2050",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1469 NW 36th St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331425557",
"country_code": "US",
"telephone_number": "786-366-2050",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "EXCELLENCE CARE FLORIDA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-27",
"last_updated": "2025-07-28",
"certification_date": "2025-07-28",
"status": "A",
"authorized_official_last_name": "GUEVARA",
"authorized_official_first_name": "ERNESTO",
"authorized_official_title_or_position": "CEO/AMBR",
"authorized_official_telephone_number": "786-366-2050",
"authorized_official_credential": "PMHNP"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.