DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: EXCELLENCE HEALTH PSYCHIATRY, LLC

MEDICARE: EXCELLENCE HEALTH PSYCHIATRY, LLC
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
12084P0800XPsychiatry Physician

General Provider Information

NPI Number : 1619511763
Entity Type Code : Organization
Provider Name (Legal Business Name) : EXCELLENCE HEALTH PSYCHIATRY, LLC
Provider Business Mailing Address
First Line : 1630 MASON AVE STE C
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-4503
Country : US
Telephone Number : 386-238-9064
Fax Number :
Provider Business Practice Location Address
First Line : 1630 MASON AVE STE C
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32117-4503
Country : US
Telephone Number : 386-238-9064
Fax Number :
Authorized Official
Title or Position : CMO
Name : HUSAM EDDIN
Credential : MD
Telephone Number : 386-238-9064
Provider Enumeration Date : 11/01/2019
Last Update Date : 11/01/2019

Similar Medicare Providers

1245287713 — RADHARANI S. GOLLAMUDI M.D.
Practice Location Address:
1630 MASON AVE STE C
DAYTONA BEACH, FL
32117-4503
Practice Phone: 386-238-9064
Practice Fax: 386-238-9064
1962595033 — CYNTHIA K FLYNN M.D.
Practice Location Address:
1630 MASON AVE STE C
DAYTONA BEACH, FL
32117-4503
Practice Phone: 386-238-9064
Practice Fax: 386-238-9063
1285771444 — KRISTIN L WULFF MD
Practice Location Address:
1630 MASON AVE STE C
DAYTONA BEACH, FL
32117-4503
Practice Phone: 386-238-9064
Practice Fax: 386-238-9063
1700204005 — DR. ANTONIO MANUEL PORTILLA-CINTRON JR. M.D.
Practice Location Address:
1630 MASON AVE STE C
DAYTONA BEACH, FL
32117-4503
Practice Phone: 386-238-9064
Practice Fax: 386-238-9063
1790328094 — JEANNE MARIE KERR MSN APRN NP-C
Practice Location Address:
1630 MASON AVE STE C
DAYTONA BEACH, FL
32117-4503
Practice Phone: 386-238-9064
Practice Fax:
1588200885 — KATHRYN ANNE ERICKSON ARNP
Practice Location Address:
1630 MASON AVE STE C
DAYTONA BEACH, FL
32117-4503
Practice Phone: 386-238-9064
Practice Fax:

Directions to “EXCELLENCE HEALTH PSYCHIATRY, LLC ” 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.