EXCELLENCE HEALTH WOUND CARE LLC
NPI 1215633441
Registered Nurse - Wound Care in Daytona Beach, FL

Q: What is Excellence Health Wound Care LLC's NPI number?

The NPI number for Excellence Health Wound Care LLC is 1215633441. It was assigned to this organization in the NPPES registry on January 31, 2023. The provider is doing business as Excellence Health Wound Care.

Q: What is Excellence Health Wound Care LLC's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Wound Care, with taxonomy code 163WW0000X.

Active since January 31, 2023CLIA 10D2242070 · Waiver

1630 MASON AVE STE C, DAYTONA BEACH, FL 32117(386) 238-9064(386) 238-9063 Get Directions Write a Review

NPPES record last updated: January 31, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Excellence Health Wound Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXCELLENCE HEALTH WOUND CARE LLC (NPI 1215633441), doing business as Excellence Health Wound Care, is a healthcare organization registered as a wound care in Daytona Beach, Florida and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through November 3, 2027 and lists Husam Eddin, Owner, as its authorized official.

NPPES Registry Identity

NPI1215633441

Entity TypeOrganization

Primary Taxonomy163WW0000X

Legal Business NameEXCELLENCE HEALTH WOUND CARE LLC

Location Address1630 MASON AVE STE CDaytona Beach, FL 32117-4503

Mailing Address1630 Mason Ave Ste CDaytona Beach, FL 32117-4503 · (386) 238-9064 · Fax (386) 238-9063

Phone(386) 238-9064

Fax(386) 238-9063

Organization SubpartNo

Authorized OfficialHusam EddinOwner · (386) 238-9064

Enumeration DateJanuary 31, 2023

NPPES CertifiedJanuary 31, 2023

✔ NPI 1215633441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Wound CareNursing Service Providers

Taxonomy Code163WW0000X

1630 MASON AVE STE C, Daytona Beach, FL 32117

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Other Names 1

Doing Business AsExcellence Health Wound Care

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2242070

Excellence Health · Daytona Beach, FL

Active · expires Nov 3, 2027

CLIA Number10D2242070

Laboratory TypePhysician Office

Certificate Effective DateNovember 4, 2025

Certificate Expiration DateNovember 3, 2027

Laboratory DirectorHusam Eddin

Laboratory Phone(386) 238-9064

Laboratory LocationExcellence Health1630 Mason Ave Unit C, Daytona Beach, FL 32117

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARAH DALLOS APRN

Nurse Practitioner (Gerontology)