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Organization
EXCELLENCE HEALTH SPECIALIST LLC
Active
Organization
EXCELLENCE HEALTH SPECIALIST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM EDDIN MD (CEO)
(386) 238-9064
Entity
Organization
Contact information
Practice address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4503
(386) 238-9064
(386) 238-9063
Mailing address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4503
(386) 238-9064
(386) 238-9063
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RN0300X
Nephrology Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
Other
Enumeration date
01/05/2023
Last updated
10/02/2024
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