# UNIVERSITY PHYSICAL MEDICINE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679811970
- **Authorized official:** DR. NICHOLAS BELLETTO D.C. (OWNER/DOCTOR)
- **Authorized official phone:** (850) 576-2129

## Contact information

- **Practice address:** 1224 OCALA RD, TALLAHASSEE, FL 32304-1548
- **Practice address phone:** (850) 576-2129
- **Practice address fax:** (850) 576-9602
- **Mailing address:** 1224 OCALA RD, TALLAHASSEE, FL 32304-1548
- **Mailing address phone:** (850) 576-2129
- **Mailing address fax:** (850) 576-9602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | ME 57039 | FL | Yes |
| 208D00000X | General Practice Physician | RN 2567282 | FL | — |

## Other

- **Enumeration date:** 01/21/2013
- **Last updated:** 02/04/2014
