Excellence Medical Centers,LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ME94225 Issued in FL

Legal business name

EXCELLENCE MEDICAL CENTERS,LLC

Practice address

4304 Del Prado Blvd S
Cape Coral, FL 33904-7169

Phone

(239) 540-0800

Fax

(239) 540-0806

NPI assigned

Oct 14, 2010

Last updated

Aug 7, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Christine Mackie, M.D.NPI 1437140126

Title

Owner

Phone

(239) 540-0800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Christine M Mackie, M.D.

  • Family Medicine Physician
  • Cape Coral, FL
  • NPI 1437140126
  Medicare reassignment NPD Authorized official
• Yamell Martin Perez

  • Nurse Practitioner
  • Cape Coral, FL
  • NPI 1003404369
  NPD (past)
• Marialy Rodriguez Hernandez, ARNP

  • Family Nurse Practitioner
  • Cape Coral, FL
  • NPI 1043804008
  NPD (past)
• Yordan Orive Gomez, MD

  • Internal Medicine Physician
  • Artesia, NM
  • NPI 1255872578
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1629388319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4304 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047169",
            "telephone_number": "239-540-0800",
            "fax_number": "239-540-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4304 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047169",
            "telephone_number": "239-540-0800",
            "fax_number": "239-540-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELLENCE MEDICAL CENTERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "MACKIE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-540-0800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME94225",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "29322",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "273771000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Matthew Everett, M.D.
• Nancy A Everly, PHARMD
• Evolve Behavior Therapy LLC (Evolve Behavior Therapy)
• Yaimi Evora Fuentes
• Excellence Companion & Homemaker LLC
• Excellent Home Care Services Inc
• Excellent Medical Transport
• Experience Family Chiropractic
• Yamilys Exposito
• Express Med Supply Inc

• General Practice Physician in Cape Coral, FL
• Providers in Cape Coral, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.