Provider Demographics
NPI:1043520505
Name:EXCLUSIVE HEALTHCARE CENTER INC.
Entity Type:Organization
Organization Name:EXCLUSIVE HEALTHCARE CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YARAIS
Authorized Official - Middle Name:
Authorized Official - Last Name:ARCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-639-8929
Mailing Address - Street 1:7902 NW 36TH ST STE 206
Mailing Address - Street 2:
Mailing Address - City:DORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33166-6663
Mailing Address - Country:US
Mailing Address - Phone:305-639-2989
Mailing Address - Fax:305-639-2986
Practice Address - Street 1:7902 NW 36TH ST STE 206
Practice Address - Street 2:
Practice Address - City:DORAL
Practice Address - State:FL
Practice Address - Zip Code:33166-6663
Practice Address - Country:US
Practice Address - Phone:305-639-2989
Practice Address - Fax:305-639-2986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-18
Last Update Date:2010-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM25230261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation