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Organization
LUCILLE BELNICK MD PA CORP
Active
Organization
LUCILLE BELNICK MD PA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LUCILLE B BELNICK M.D. (OWNER)
(407) 679-3400
Entity
Organization
Contact information
Practice address
5474 LAKE HOWELL RD, WINTER PARK, FL 32792-1034
(407) 679-3400
(407) 679-3412
Mailing address
5474 LAKE HOWELL ROAD, WINTER PARK, FL 32792
(407) 679-3400
(407) 679-3412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME65336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1275517690
NPI
FL
Enumeration date
02/09/2010
Last updated
02/10/2014
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