Provider Demographics
NPI:1407515927
Name:EXCEL PAIN AND SPINE LLC
Entity Type:Organization
Organization Name:EXCEL PAIN AND SPINE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARPIT
Authorized Official - Middle Name:A
Authorized Official - Last Name:PATEL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:813-701-5804
Mailing Address - Street 1:3501 BESSIE COLEMAN BLVD UNIT 25201
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33622-9130
Mailing Address - Country:US
Mailing Address - Phone:813-701-5804
Mailing Address - Fax:813-291-7615
Practice Address - Street 1:326 S 6TH AVE
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-3207
Practice Address - Country:US
Practice Address - Phone:813-701-5804
Practice Address - Fax:813-291-7615
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-13
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain MedicineGroup - Single Specialty