Provider Demographics
NPI:1972017275
Name:EXCEL CARE ORTHOPEDICS, PLLC
Entity type:Organization
Organization Name:EXCEL CARE ORTHOPEDICS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RAFAT
Authorized Official - Middle Name:S
Authorized Official - Last Name:NASHED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-870-2120
Mailing Address - Street 1:300 RIVERSIDE DR E STE 1300
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34208-1022
Mailing Address - Country:US
Mailing Address - Phone:941-870-2120
Mailing Address - Fax:941-325-3595
Practice Address - Street 1:300 RIVERSIDE DR E STE 1300
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34208-1022
Practice Address - Country:US
Practice Address - Phone:941-870-2120
Practice Address - Fax:941-328-3595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-22
Last Update Date:2017-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME109000207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL00421880Medicaid