# EXCELLON CORP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215373675
- **Authorized official:** DR. DAVID CHEESMAN D.O. (OWNER)
- **Authorized official phone:** (321) 354-5250

## Contact information

- **Practice address:** 8015 TURKEY LAKE RD STE 300, ORLANDO, FL 32819-7383
- **Practice address phone:** (407) 334-4359
- **Mailing address:** 7557 W SAND LAKE RD \# 167, ORLANDO, FL 32819-5109

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 01054637A | IN | — |
| 207Q00000X | Family Medicine Physician | OS4187 | FL | Yes |

## Other

- **Enumeration date:** 05/13/2013
- **Last updated:** 05/15/2013