Active NPI
Excel Aesthetic Miami LLC
- Primary Care Clinic/Center
- Doral, FL
National Provider Identifier
1750192290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.