# EXCELLENCE HEALTH, LLC

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

## Provider details

- **NPI number:** 1447741749
- **Authorized official:** ANGELA BRADSHAW (BILLER)
- **Authorized official phone:** (386) 238-9064

## Contact information

- **Practice address:** 1630 MASON AVE STE C, DAYTONA BEACH, FL 32117-4547
- **Practice address phone:** (386) 238-9064
- **Practice address fax:** (386) 238-9063
- **Mailing address:** 1630 MASON AVE, DAYTONA BEACH, FL 32117-4500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME94169 | FL | Yes |

## Other

- **Enumeration date:** 05/22/2018
- **Last updated:** 02/16/2026