| Entity Name: | EXCELLENCE HEALTH WOUND CARE LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 10 Jan 2023 (2 years ago) |
| Document Number: | L23000022777 |
| FEI/EIN Number | 92-1891740 |
| 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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215633441 | 2023-01-31 | 2023-01-31 | 1630 MASON AVE STE C, DAYTONA BEACH, FL, 321174503, US | 1630 MASON AVE STE C, DAYTONA BEACH, FL, 321174503, US | |||||||||||||||
|
|||||||||||||||||||
| Phone | +1 386-238-9064 |
| Fax | 3862389063 |
Authorized person
| Name | HUSAM EDDIN |
| Role | OWNER |
| Phone | 3862389064 |
Taxonomy
| Taxonomy Code | 163WW0000X - Wound Care Registered Nurse |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EDDIN HUSAM | Agent | 1630 MASON AVE, DAYTONA BEACH, FL, 32117 |
| Name | Role | Address |
|---|---|---|
| EDDIN HUSAM | Chief Executive Officer | 1630 MASON AVE SUITE C, DAYTONA BEACH, FL, 32117 |
| Name | Date |
|---|---|
| AMENDED ANNUAL REPORT | 2024-07-11 |
| ANNUAL REPORT | 2024-02-06 |
| Florida Limited Liability | 2023-01-10 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
