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Organization
EXCELLENCE HEALTH CARE AT HOME, LLC
Active
Organization
EXCELLENCE HEALTH CARE AT HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HUSAM EDDIN MD (CHIEF EXECUTIVE OFFICER)
(386) 238-9064
Entity
Organization
Contact information
Practice address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4503
(386) 238-9064
Mailing address
1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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