EXCELLENCE HEALTH MEDICAL SPA LLC – NPI #1235835174
Clinic/Center

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).

Health Care Provider Taxonomy Code for Clinic/Center

EXCELLENCE HEALTH MEDICAL SPA LLC is an AHC clinic located in DAYTONA BEACH, FL. NPPES has assigned the NPI number 1235835174 to EXCELLENCE HEALTH MEDICAL SPA LLC on February 02, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EXCELLENCE HEALTH MEDICAL SPA LLC below.

NPI Profile for
EXCELLENCE HEALTH MEDICAL SPA LLC

NPI Number
1235835174
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EXCELLENCE HEALTH MEDICAL SPA LLC
Primary location
1301 BEVILLE RD STE 8
DAYTONA BEACH, FL 32119-1503
Phone: (386) 238-9064 Fax: (386) 238-9063
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
HUSAM EDDIN
OWNER
Phone: (386) 238-9064
Updated
Certification Date
Feb 02, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)
207R00000X
- Internal Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.