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
—
—
Other
Enumeration date
02/29/2024
Last updated
02/29/2024
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