# EDDIN MEDICAL SERVICES

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

## Provider details

- **NPI number:** 1790074037
- **Authorized official:** HUSAM EDDIN M.D. (OWNER)
- **Authorized official phone:** (386) 341-3366

## Contact information

- **Practice address:** 2123 S PALMETTO AVE, SOUTH DAYTONA, FL 32119-3005
- **Practice address phone:** (386) 341-3366
- **Practice address fax:** (386) 615-8208
- **Mailing address:** PO BOX 291140, PORT ORANGE, FL 32129-1140
- **Mailing address phone:** (386) 341-3366
- **Mailing address fax:** (386) 615-8208

## Taxonomy

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

## Other

- **Enumeration date:** 04/06/2011
- **Last updated:** 09/11/2013