Exelsior Diagnostic Service, Inc.

NPI #1699179176 in North Miami Beach, Florida

Provider Information

NPI Number
1699179176
Entity Type
Organization
Organization Name
Exelsior Diagnostic Service, Inc.
Primary Specialty
Internal Medicine
Enumeration Date
Oct 13, 2014
Last Updated
Oct 13, 2014

Practice Location

Address
951 NE 167TH ST
Address 2
SUITE 102
State
Florida
ZIP Code
33162-3711
Phone
(305) 944-1122

Authorized Official

Name
ALEXANDER TIRADO, PA-C
Title
PRESIDENT
Phone
(305) 944-1122

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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