| Entity Name: | EXCELLENCE HEALTH PSYCHIATRY, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
EXCELLENCE HEALTH PSYCHIATRY, LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 01 Oct 2019 (6 years ago) |
| Document Number: | L19000247094 |
| FEI/EIN Number |
84-3546953
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL, 32117 |
| Mail Address: | 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL, 32117 |
| ZIP code: | 32117 |
| County: | Volusia |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619511763 | 2019-11-01 | 2019-11-01 | 1630 MASON AVE STE C, DAYTONA BEACH, FL, 321174503, US | 1630 MASON AVE STE C, DAYTONA BEACH, FL, 321174503, US | |||||||||||||
|
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| Phone | +1 386-238-9064 |
Authorized person
| Name | HUSAM EDDIN |
| Role | CMO |
| Phone | 3862389064 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EDDIN HUSAM | Manager | 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL, 32117 |
| EDDIN HUSAM | Agent | 1630 MASON AVE, DAYTONA BEACH, FL, 32117 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-06 |
| ANNUAL REPORT | 2023-02-03 |
| ANNUAL REPORT | 2022-04-06 |
| ANNUAL REPORT | 2021-02-25 |
| ANNUAL REPORT | 2020-03-19 |
| Florida Limited Liability | 2019-10-01 |
Date of last update: 02 Apr 2025
Sources: Florida Department of State
