Excelsior Medical Health Center LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EXCELSIOR MEDICAL HEALTH CENTER LLC

Practice address

18441 NW 2ND Ave Ste 103
Miami Gardens, FL 33169-4517

Phone

(305) 650-1158

NPI assigned

Jan 30, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Geralda Phanor Fleuranvil, PA-C

Title

Ceo

Phone

(786) 564-9438

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636416000000",
    "number": "1710485255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 NW 204TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331692452",
            "telephone_number": "786-564-9438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18441 NW 2ND AVE STE 103",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694517",
            "telephone_number": "305-650-1158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSIOR MEDICAL HEALTH CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A",
        "authorized_official_last_name": "FLEURANVIL",
        "authorized_official_first_name": "GERALDA",
        "authorized_official_middle_name": "PHANOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "786-564-9438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "PA9104039",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Extended Care Transitions (Transitions Recovery Program)
• Wendina Eyma, MHC
• F Global Services Corp

• Internal Medicine Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.