Provider Demographics
NPI:1306854211
Name:EXCELLENT CARE CHIROPRACTIC CENTER INC
Entity Type:Organization
Organization Name:EXCELLENT CARE CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSE
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:MADRUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-871-9087
Mailing Address - Street 1:8080 W FLAGLER ST
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-2100
Mailing Address - Country:US
Mailing Address - Phone:305-871-9087
Mailing Address - Fax:
Practice Address - Street 1:8080 W FLAGLER ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-2100
Practice Address - Country:US
Practice Address - Phone:305-871-9087
Practice Address - Fax:305-871-9097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHCC9563261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service