Excellence Health, Llc

LBN: Excellence Health, Llc
Excellence Health, Llc is an health care organization with primary practice located at 1630 Mason Ave Ste C , Daytona Beach FL 32117-4547. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Excellence Health, Llc can be contacted via phone (386) 238-9064, or through Mitchell, Rachael via phone (386) 238-9064.

Contact Information

Primary practice address
1630 Mason Ave Ste C Daytona Beach FL 32117-4547
Phone: (386) 238-9064
Fax: (386) 238-9063
Website:
Map and Directions
Authorized official contact:
Name: Mitchell, Rachael
Phone: (386) 238-9064

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME94169 Florida

Profile Details

NPI number 1447741749
LBN Legal business name Excellence Health, Llc
DBA Doing business as
Authorized official Mitchell, Rachael
Entity Organization
Organization subpart 1 No
Enumeration date May 22nd, 2018
Last updated Sep 19th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447741749 NPPES
Florida MEDICAID 273953400

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