Organization
EDDIN MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HUSAM EDDIN M.D. (OWNER)
(386) 341-3366
Entity
Organization
Contact information
Practice address
2123 S PALMETTO AVE, SOUTH DAYTONA, FL 32119-3005
(386) 341-3366
(386) 615-8208
Mailing address
PO BOX 291140, PORT ORANGE, FL 32129-1140
(386) 341-3366
(386) 615-8208
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
04/06/2011
Last updated
09/11/2013
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