Provider Demographics
NPI:1447290804
Name:EXCELSIOR CONSULTING HEALTH SOLUTIONS INC
Entity type:Organization
Organization Name:EXCELSIOR CONSULTING HEALTH SOLUTIONS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:EDSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-240-2877
Mailing Address - Street 1:3927 NW 89TH AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-2974
Mailing Address - Country:US
Mailing Address - Phone:954-240-2877
Mailing Address - Fax:
Practice Address - Street 1:3927 NW 89TH AVE
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33065-2974
Practice Address - Country:US
Practice Address - Phone:954-240-2877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH9088111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty