Provider Demographics
NPI:1851522007
Name:EXCEL PHYSICAL THERAPY OF NAPLES, INC.
Entity Type:Organization
Organization Name:EXCEL PHYSICAL THERAPY OF NAPLES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:C
Authorized Official - Last Name:QUIROGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-213-4295
Mailing Address - Street 1:13020 LIVINGSTON RD
Mailing Address - Street 2:SUITE 9
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34105-5021
Mailing Address - Country:US
Mailing Address - Phone:239-213-4295
Mailing Address - Fax:239-354-9121
Practice Address - Street 1:13020 LIVINGSTON RD.
Practice Address - Street 2:SUITE #9
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34105
Practice Address - Country:US
Practice Address - Phone:239-213-4295
Practice Address - Fax:239-354-9121
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-06
Last Update Date:2010-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 24636225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty