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Contact Information

EXCELLENCE HEALTH SPECIALIST LLC
1630 MASON AVE STE C
DAYTONA BEACH, FL32117-4503
 Phone: 386-238-9064
 Fax: 386-238-9063
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207RS0012X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
 

Infectious Disease

207RI0200X 11 Physician/Internal Medicine
 

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Nephrology

207RN0300X 11 Physician/Internal Medicine
 

Sports Medicine

207RS0010X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for EXCELLENCE HEALTH SPECIALIST LLC

NPI Number 1306559265
LBN Legal business name EXCELLENCE HEALTH SPECIALIST LLC
Authorized official HUSAM EDDIN - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 01/05/2023
Last updated 10/02/2024 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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