EXCELLENCE HEALTH MEDICAL CLINICS LLC
NPI 1902502875
Clinic/Center in Daytona Beach, FL

NPI Status: Active since February 02, 2023

Contact Information

1630 MASON AVE STE C
DAYTONA BEACH, FL
ZIP 32117
Phone: (386) 238-9064
Fax: (386) 238-9063

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  • Organization
  • Clinic/Center

About EXCELLENCE HEALTH MEDICAL CLINICS LLC

This page provides the complete NPI Profile along with additional information for Excellence Health Medical Clinics Llc, a provider established in Daytona Beach, Florida operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1902502875 assigned on February 2023. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Husam Eddin Md (Owner)

NPI
1902502875
Provider Name
EXCELLENCE HEALTH MEDICAL CLINICS LLC
Entity Type
Organization
Location Address
1630 MASON AVE STE C DAYTONA BEACH, FL 32117
Location Phone
(386) 238-9064
Location Fax
(386) 238-9063
Mailing Address
1630 MASON AVE STE C DAYTONA BEACH, FL 32117
Mailing Phone
(386) 238-9064
Mailing Fax
(386) 238-9063
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-02-2023
Last Update Date
02-02-2023
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center

Taxonomy Code
261Q00000X
Type
Ambulatory Health Care Facilities
Taxonomy Description
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

HUSAM EDDIN MD

Authorized Official Title
OWNER
Authorized Official Phone
(386) 238-9064

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1902502875
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29021004814
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 0 + 2 + 1 + 0 + 0 + 4 + 8 + 1 + 4 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1902502875 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1447741749EXCELLENCE HEALTH, LLC
Organization
Family Medicine1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1700449238 JEANINE TRIPP ARNP
Individual
Nurse Practitioner (Family)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1700204005DR. ANTONIO MANUEL PORTILLA-CINTRON JR. M.D.
Individual
Internal Medicine1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1548614647 EMMA LAURA EMS ARNP
Individual
Nurse Practitioner (Gerontology)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1619511763EXCELLENCE HEALTH PSYCHIATRY, LLC
Organization
Psychiatry & Neurology (Psychiatry)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1588200885 KATHRYN ANNE ERICKSON ARNP
Individual
Nurse Practitioner (Adult Health)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1659886646 TENISHA BRYAN MORRIS
Individual
Nurse Practitioner (Adult Health)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1962595033 CYNTHIA K FLYNN M.D.
Individual
Family Medicine1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1790328094 JEANNE MARIE KERR MSN APRN NP-C
Individual
Nurse Practitioner (Family)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1215633441EXCELLENCE HEALTH WOUND CARE LLC
Organization
Registered Nurse (Wound Care)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1629082607DR. HUSAM EDDIN M.D
Individual
Family Medicine1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1285390328 DELAYNA SIQUEIRA FNP
Individual
Nurse Practitioner (Family)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1508467523 HEATHER SMITH APRN
Individual
Nurse Practitioner (Family)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1841901071 CHRISTYN FULLER APRN
Individual
Nurse Practitioner1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1336906080EXCELLENCE HEALTH CARE AT HOME, LLC
Organization
Family Medicine1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1164280251 SARAH DALLOS APRN
Individual
Nurse Practitioner (Gerontology)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1902664568MRS. KELLI KNIGHT OVERTURF APRN
Individual
Nurse Practitioner (Primary Care)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1306559265EXCELLENCE HEALTH SPECIALIST LLC
Organization
Internal Medicine (Sleep Medicine)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1689299000 PHEBE NICOLE HAGINS WRIGHT NP-C
Individual
Nurse Practitioner (Family)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064
1174245922 KRUPA PATEL PA-C
Individual
Physician Assistant (Medical)1630 MASON AVE STE C
DAYTONA BEACH, FL 32117
(386) 238-9064

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1902502875, enumerated in the NPI registry as an "organization" on February 02, 2023

The provider is located at 1630 Mason Ave Ste C Daytona Beach, Fl 32117 and the phone number is (386) 238-9064

This medical organization specializes in Clinic/Center with taxonomy code 261Q00000X

This NPI record was last updated on February 02, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.