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Organization

EXCELLENCE HEALTH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANGELA BRADSHAW (BILLER)
(386) 238-9064
Entity
Organization

Contact information

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

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME94169
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
273953400
FL
Enumeration date
05/22/2018
Last updated
02/16/2026
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