Provider Demographics
NPI:1558674010
Name:EXCELLENT GROUP SERVICES INC
Entity Type:Organization
Organization Name:EXCELLENT GROUP SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATALINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TORRES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:305-558-3033
Mailing Address - Street 1:10550 NW 77 CT #310
Mailing Address - Street 2:
Mailing Address - City:HIALEAH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33016-2072
Mailing Address - Country:US
Mailing Address - Phone:305-558-3033
Mailing Address - Fax:305-558-3059
Practice Address - Street 1:10550 NW 77TH CT STE 310
Practice Address - Street 2:
Practice Address - City:HIALEAH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33016-2072
Practice Address - Country:US
Practice Address - Phone:305-558-3033
Practice Address - Fax:305-558-3059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMM25210261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty