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EXCELLENCE HEALTH CARE AT HOME LLC - Florida Company Profile

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Company Details

Entity Name: EXCELLENCE HEALTH CARE AT HOME LLC
Jurisdiction: FLORIDA
Filing Type: Florida Limited Liability Co.
Status: Active
Date Filed: 10 Jan 2023 (3 years ago)
Document Number: L23000022612
FEI/EIN Number APPLIED FOR
Address: 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL, 32117, US
Mail Address: 1630 MASON AVE, SUITE C, DAYTONA BEACH, FL, 32117, US
ZIP code: 32117
City: Daytona Beach
County: Volusia
Place of Formation: FLORIDA

Key Officers & Management

Name Role Address
EDDIN HUSAM Chief Executive Officer 1630 MASON AVE SUITE C, DAYTONA BEACH, FL, 32117
EDDIN HUSAM Agent 1630 MASON AVE, DAYTONA BEACH, FL, 32117

National Provider Identifier

NPI Number:
1336906080
Certification Date:
2024-02-29

Authorized Person:

Name:
DR. HUSAM EDDIN
Role:
CHIEF EXECUTIVE OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Documents

Name Date
ANNUAL REPORT 2024-02-08
Florida Limited Liability 2023-01-10

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Date of last update: 01 Aug 2025

Sources: Florida Department of State