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Organization
WEST FLORIDA MEDICAL ASSOCIATES P A
Active
Organization
WEST FLORIDA MEDICAL ASSOCIATES P A
Active
Other names
Bellam Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA P BELLAM M.D. (PRESIDENT)
(352) 447-3031
Entity
Organization
Contact information
Practice address
41 N INGLIS AVE, INGLIS, FL 34449-9463
(352) 447-3031
Mailing address
PO BOX 69, 41 N. INGLIS AVE, INGLIS, FL 34449-0069
(352) 447-3031
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
ME0060472
FL
Other
Enumeration date
01/31/2007
Last updated
11/09/2010
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