National Provider Identifier Database

EXCELLENCE HEALTH WOUND CARE LLC
Wound Care


Contact Information

EXCELLENCE HEALTH WOUND CARE LLC
1630 MASON AVE STE C
DAYTONA BEACH, FL32117-4503
Phone: 386-238-9064
Fax: 386-238-9063
Website:
Specialty Taxonomy Code
* Wound Care 163WW0000X

* Indicates primary specialty

NPI Profile & details for EXCELLENCE HEALTH WOUND CARE LLC

NPI Number 1215633441
Legal business name
LBN
EXCELLENCE HEALTH WOUND CARE LLC
Authorized official HUSAM EDDIN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/31/2023
Last updated 01/31/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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