Organization
CAMELLIA CLINICAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AIDA DELCASTILLO M.D. (PRESIDENT)
(386) 717-2108
Entity
Organization
Contact information
Practice address
250 N KEPLER RD, DELAND, FL 32724-4712
(386) 717-2108
(386) 736-1321
Mailing address
250 N KEPLER RD, DELAND, FL 32724-4712
(386) 717-2108
(386) 626-2380
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
ME0028096
FL
Other
Enumeration date
10/17/2006
Last updated
09/09/2011
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