| Stillpoint Psychiatry | |
|
2089 S Ridgewood Ave Ste B South Daytona FL 32119-2240 | |
| (386) 957-3905 | |
| (386) 492-1131 |
| Full Name | Stillpoint Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 2089 S Ridgewood Ave Ste B, South Daytona, Florida |
| Authorized Official Name and Position | Salvador Cevallos (OWNER) |
| Authorized Official Contact | 3869573905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stillpoint Psychiatry 2089 S Ridgewood Ave Ste B South Daytona FL 32119-2240 Ph: (386) 957-3905 | Stillpoint Psychiatry 2089 S Ridgewood Ave Ste B South Daytona FL 32119-2240 Ph: (386) 957-3905 |
| NPI Number | 1811315104 |
|---|---|
| Provider Enumeration Date | 04/03/2014 |
| Last Update Date | 11/07/2023 |
| Certification Date | 10/27/2023 |
| Medicare PECOS PAC ID | 3971827924 |
|---|---|
| Medicare Enrollment ID | O20150121001983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811315104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | ME101696 (Florida) | Primary |
| Provider Name | Salvador Leo T Cevallos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992926661 PECOS PAC ID: 0042370884 Enrollment ID: I20081124000299 |
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