| Eddin Medical Services | |
|
2123 S Palmetto Ave South Daytona FL 32119-3005 | |
| (386) 341-3366 | |
| (386) 615-8208 |
| Full Name | Eddin Medical Services |
|---|---|
| Speciality | Family Medicine |
| Location | 2123 S Palmetto Ave, South Daytona, Florida |
| Authorized Official Name and Position | Husam Eddin (OWNER) |
| Authorized Official Contact | 3863413366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eddin Medical Services Po Box 291140 Port Orange FL 32129-1140 Ph: (386) 341-3366 | Eddin Medical Services 2123 S Palmetto Ave South Daytona FL 32119-3005 Ph: (386) 341-3366 |
| NPI Number | 1790074037 |
|---|---|
| Provider Enumeration Date | 04/06/2011 |
| Last Update Date | 09/11/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790074037 | NPI | - | NPPES |
| 273953400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME94169 (Florida) | Primary |
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