Organization Active NPI

Excel Aesthetic Miami LLC

  • Primary Care Clinic/Center
  • Doral, FL
National Provider Identifier
1750192290
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
EXCEL AESTHETIC MIAMI LLC
Practice address
2500 NW 79TH Ave Ste 240
Doral, FL 33122-1086
Phone
(786) 558-4047
NPI assigned
Jan 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Authorized official

Name
Kevin Garcia
Title
Manager
Phone
(786) 558-4047

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2500 NW 79TH Ave Ste 240
Doral, FL 33122-1086

Mailing address

2500 NW 79TH Ave Ste 240
Doral, FL 33122-1086
Phone (785) 558-4047

National Provider Directory

National Provider Directory

Locations

2500 NW 79th Ave
Ste 240
Doral, FL 33122
Phone (786) 558-4047

NPI Registry JSON

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

{
    "created_epoch": "1736899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736899200000",
    "number": "1750192290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 240",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221086",
            "telephone_number": "785-558-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NW 79TH AVE STE 240",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331221086",
            "telephone_number": "786-558-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL AESTHETIC MIAMI LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-15",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "786-558-4047"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Jan 15, 2025; 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.