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: November 01, 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, 2028, 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
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 ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
4005 NW 114TH AVE UNIT 22, Doral, FL 33178

Secondary Practice Locations 2

Location 17171 SW 62nd AveSouth Miami, FL 33143-4723 · Phone (786) 366-2050
Location 21469 NW 36th StMiami, FL 33142-5557 · Phone (786) 366-2050

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Excellence Care Florida Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

12

Medicare enrollment records show 12 clinicians reassign Medicare billing to Excellence Care Florida LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 10 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner9
Clinical Social Worker1
Marriage and Family Therapist1
Psychiatry1

Clinicians, nearest first (12)

Nurse Practitioner
NPI 1124452339
4005 NW 114TH AVE UNIT 22
Doral, FL 33178
(305) 260-6913
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1063270783
4005 NW 114TH AVE UNIT 22
Doral, FL 33178
(305) 260-6913
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1962115675
10701 NW 41ST ST
Doral, FL 33178
(305) 477-0184
✔ PECOS✔ Accepts Medicare0.7 mi
Marriage and Family Therapist
NPI 1669204582
110 NW 114TH AVE APT 107
Miami, FL 33172
(786) 271-3785
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1821943853
1840 W 49TH ST STE 514
Hialeah, FL 33012
(786) 885-0983
✔ PECOS5.4 mi
Nurse Practitioner
NPI 1437846037
9176 NW 121ST ST
Hialeah Gardens, FL 33018
(786) 805-1287
✔ PECOS5.4 mi
Nurse Practitioner
NPI 1073240032
777 E 25TH ST STE 509
Hialeah, FL 33013
(305) 420-5016
✔ PECOS✔ Accepts Medicare7.5 mi
Psychiatry
NPI 1972132512
5361 NW 22ND AVE
Miami, FL 33142
(305) 637-6400
✔ PECOS✔ Accepts Medicare9.3 mi
Nurse Practitioner
NPI 1093342818
1469 NW 36TH ST
Miami, FL 33142
(305) 635-7444
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1851760060
1469 NW 36TH ST
Miami, FL 33142
(305) 635-7444
✔ PECOS✔ Accepts Medicare9.9 mi
Nurse Practitioner
NPI 1770340846
3000 BISCAYNE BLVD STE 216
Miami, FL 33137
(786) 220-1969
✔ PECOS12 mi
Clinical Social Worker
NPI 1407392111
20535 NW 2ND AVE STE 210
Miami, FL 33169
(305) 900-3475
✔ PECOS✔ Accepts Medicare15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028
CLIA Number10D2314125
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 14, 2026
Certificate Expiration DateNovember 13, 2028
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.

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.

Is Excellence Care Florida LLC enrolled in Medicare?

Yes. Excellence Care Florida LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Excellence Care Florida LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 4 Medicare specialties reassign their Medicare billing to Excellence Care Florida LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (9), Clinical Social Worker (1) and Marriage and Family Therapist (1). Of these, 2 practice at this address and 10 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Excellence Care Florida LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Excellence Care Florida LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 15 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.