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
- 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20211012003004 | FL | Part B Supplier - Clinic/Group Practice | 3678971264 |
Receives reassigned benefits from 10 practitioners Practice locations: Doral, FL |
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
1469 NW 36th St
Miami, FL 33142
Phone (305) 635-0366
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1093342818
Family, FL
-
- Psychiatric/Mental Health Nurse Practitioner
- Doral, FL
- NPI 1063270783
FL, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1851760060
Family, FL
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1770340846
FL, Psychiatric/Mental Health
-
- Psychiatric/Mental Health Nurse Practitioner
- Hialeah, FL
- NPI 1073240032
Family, FL
-
- Family Nurse Practitioner
- Doral, FL
- NPI 1962115675
Family, FL
-
- Psychiatric/Mental Health Nurse Practitioner
- Miami, FL
- NPI 1124452339
FL
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.