Provider Demographics
NPI:1861659005
Name:EXCEL MEDICAL SUPPLIES INC
Entity Type:Organization
Organization Name:EXCEL MEDICAL SUPPLIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:DAISY
Authorized Official - Middle Name:
Authorized Official - Last Name:BOGAERT-HEINSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-716-9582
Mailing Address - Street 1:1851 SW 176TH AVENUE
Mailing Address - Street 2:
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33029
Mailing Address - Country:US
Mailing Address - Phone:954-430-8416
Mailing Address - Fax:954-499-1781
Practice Address - Street 1:1851 SW 176TH AVENUE
Practice Address - Street 2:
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33029
Practice Address - Country:US
Practice Address - Phone:954-430-8416
Practice Address - Fax:954-499-1781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-16
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies