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EXCELLENCE CARE FLORIDA LLC
NPI 1013684992
Clinic/Center - Community Health in Doral, FL

Active since August 27, 2021CLIA 10D2314125 · Waiver
4005 NW 114TH AVE UNIT 22, DORAL, FL 33178(786) 366-2050 Get Directions Write a Review

NPPES record last updated: July 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 7, 2025, Oct 7, 2024, May 15, 2024 and 2 more (5 updates tracked since 2021).

About Excellence Care Florida Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXCELLENCE CARE FLORIDA LLC (NPI 1013684992) is a healthcare organization registered as a community health in Doral, Florida and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through November 13, 2026, maintains 2 additional practice locations, and lists Ernesto Guevara, Ceo/ambr, as its authorized official.

NPPES Registry Identity

NPI1013684992
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameEXCELLENCE CARE FLORIDA LLC
Location Address4005 NW 114TH AVE UNIT 22Doral, FL 33178-4373
Mailing Address14113 Sw 161st CtMiami, FL 33196-6543 · (786) 366-2050
Phone(786) 366-2050
Organization SubpartNo
Authorized OfficialErnesto GuevaraCeo/ambr · (786) 366-2050
Enumeration DateAugust 27, 2021
Last NPPES UpdateJuly 28, 20255 updates tracked since enumeration
NPPES CertifiedJuly 28, 2025
✔ NPI 1013684992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
4005 NW 114TH AVE UNIT 22, Doral, FL 33178
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Secondary Practice Locations 2

Location 11469 NW 36th StMiami, FL 33142-5557 · Phone (786) 366-2050
Location 27171 SW 62nd AveSouth Miami, FL 33143-4723 · Phone (786) 366-2050

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2314125

Excellence Care Florida LLC · Doral, FL
Active · expires Nov 13, 2026
CLIA Number10D2314125
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorErnesto Guevara
Laboratory Phone(786) 366-2050
Laboratory LocationExcellence Care Florida LLC4005 NW 114th Ave, Doral, FL 33178
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DAYANA VILA
Nurse Practitioner (Psychiatric/Mental Health)
4005 NW 114TH AVE UNIT 22
DORAL, FL 33178
Miami-Dade County (305) 260-6913
LAS OLAS COMMUNITY HEALTH CORP
Community/Behavioral Health
4005 NW 114TH AVE UNIT 22
DORAL, FL 33178
Miami-Dade County (786) 614-6736
BG PRIVACY RESEARCH
Clinic/Center (Research)
4005 NW 114TH AVE UNIT 22
DORAL, FL 33178
Miami-Dade County (305) 260-6913

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Excellence Care Florida LLC's NPI number?

The NPI number for Excellence Care Florida LLC is 1013684992. It was assigned to this organization in the NPPES registry on August 27, 2021.

Where is Excellence Care Florida LLC located?

Excellence Care Florida LLC is located at 4005 NW 114th Ave Unit 22, Doral, FL 33178. The listed phone number is (786) 366-2050.

What is Excellence Care Florida LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

Does Excellence Care Florida LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2314125) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Excellence Care Florida LLC was last updated on July 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.