| Camellia Clinical Services Inc | |
|
250 N Kepler Rd Deland FL 32724-4712 | |
| (386) 717-2108 | |
| (386) 736-1321 |
| Full Name | Camellia Clinical Services Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 250 N Kepler Rd, Deland, Florida |
| Authorized Official Name and Position | Aida Delcastillo (PRESIDENT) |
| Authorized Official Contact | 3867172108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Camellia Clinical Services Inc 250 N Kepler Rd Deland FL 32724-4712 Ph: (386) 717-2108 | Camellia Clinical Services Inc 250 N Kepler Rd Deland FL 32724-4712 Ph: (386) 717-2108 |
| NPI Number | 1710068903 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 09/09/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710068903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | ME0028096 (Florida) | Primary |
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