SANTROCK PSYCHIATRY, LLC
Psychiatric at Dunlawton Ave, Daytona Beach, FL

License number
Florida ME101696
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. SALVADOR LEO CEVALLOS M.D.
Title: OWNER
Phone: (267) 243-6384
Address
Address 2
1730 Dunlawton Ave SUITE 3, Daytona Beach, FL 32127
PO Box 731572, Ormond Beach, FL 32173
National Provider ID: 1811315104
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about SANTROCK PSYCHIATRY, LLC at bizstanding.com

Santrock Psychiatry, LLC

New Smyrna, FL  -  Ormond Beach, FL  -  Daytona Beach, FL

Registration:
Feb 1, 2013
Addresses:
265 N Cswy, New Smyrna, FL 32169
PO Box 731572, Ormond Beach, FL 32173
2089 S Ridgewood Ave, Daytona Beach, FL 32119
State ID:
L13000016812
Business type:
Florida Limited Liability
Managing Member:
Salvador Leo Cevallos (Managing Member)
Agent:
Monica Favila-Cevallos

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