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Organization
MICHAEL E. BELOTTI, D.O., P.A.
Active
Organization
MICHAEL E. BELOTTI, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL E. BELOTTI JR. D.O. (PRESIDENT)
(561) 798-1995
Entity
Organization
Contact information
Practice address
10111 FOREST HILL BLVD, SUITE 202, WELLINGTON, FL 33414-6108
(561) 798-1995
(561) 798-4422
Mailing address
10111 FOREST HILL BLVD, SUITE 202, WELLINGTON, FL 33414-6108
(561) 798-1995
(561) 798-4422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS4654
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DZ247A
MEDICARE PTAN
FL
Enumeration date
11/23/2010
Last updated
10/27/2011
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