Organization
CAMELOT COMMUNITY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE WLADAVER MS (THERAPIST)
(727) 593-0003
Entity
Organization
Contact information
Practice address
4910 CREEKSIDE DR, SUITE D, CLEARWATER, FL 33760-4023
(727) 593-0003
(727) 596-1713
Mailing address
4910 CREEKSIDE DR., SUITE D, CLEARWATER, FL 33760
(727) 593-0003
(727) 596-1713
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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