| Excellon Corp | |
|
8015 Turkey Lake Rd Ste 300 Orlando FL 32819-7383 | |
| (407) 334-4359 | |
| Not Available |
| Full Name | Excellon Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 8015 Turkey Lake Rd Ste 300, Orlando, Florida |
| Authorized Official Name and Position | David Cheesman (OWNER) |
| Authorized Official Contact | 3213545250 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excellon Corp 7557 W Sand Lake Rd # 167 Orlando FL 32819-5109 Ph: () - | Excellon Corp 8015 Turkey Lake Rd Ste 300 Orlando FL 32819-7383 Ph: (407) 334-4359 |
| NPI Number | 1215373675 |
|---|---|
| Provider Enumeration Date | 05/13/2013 |
| Last Update Date | 05/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215373675 | NPI | - | NPPES |
| OS4187 | Other | FL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01054637A (Indiana) | Secondary |
| 207Q00000X | Family Medicine | OS4187 (Florida) | Primary |
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