MEDICARE: EXCELLON CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	01054637A	IN
2	207Q00000X	Family Medicine Physician	OS4187	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OS4187	OTHER	FL	STATE LICENSE

General Provider Information

NPI Number	:	1215373675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXCELLON CORP

Provider Business Mailing Address
First Line	:	7557 W SAND LAKE RD # 167
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-5109
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8015 TURKEY LAKE RD STE 300
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-7383
Country	:	US
Telephone Number	:	407-334-4359
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID CHEESMAN
Credential	:	D.O.
Telephone Number	:	321-354-5250

Provider Enumeration Date	:	05/13/2013
Last Update Date	:	05/15/2013

Similar Medicare Providers

1134199888 — DR. JENNY K YOSHIDA MD
Practice Location Address:

8015 TURKEY LAKE RD , SUITE 300
ORLANDO, FL
32819-7383

Practice Phone: 407-480-5353
Practice Fax:

1396040010 — TOTAL WELLNESS OPTIONS AND QUALITY QUICK CARE, LLC
Practice Location Address:

8015 TURKEY LAKE RD , SUITE 300
ORLANDO, FL
32819-7383

Practice Phone: 407-480-5353
Practice Fax: 407-480-5701

1700226842 — LUIS F PAGAN D.M.D.
Practice Location Address:

8015 TURKEY LAKE RD STE 300
ORLANDO, FL
32819-7383

Practice Phone: 407-205-0246
Practice Fax:

1972958171 — DR. PHILLIPS MODERN DENTISTRY, PA
Practice Location Address:

8015 TURKEY LAKE RD , 300
ORLANDO, FL
32819-7383

Practice Phone: 407-205-0246
Practice Fax: 407-641-4041

1881262319 — DR. JAI DEV DHIRENDRA PATEL DDS
Practice Location Address:

8015 TURKEY LAKE RD STE 300
ORLANDO, FL
32819-7383

Practice Phone: 407-205-0246
Practice Fax:

1134947294 — KHUNSHA SYED
Practice Location Address:

8015 TURKEY LAKE RD STE 300
ORLANDO, FL
32819-7383

Practice Phone: 407-205-0246
Practice Fax:

Directions to “EXCELLON CORP ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.