Individual
BRYAN BELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
17 E MAIN ST, MOUNT DORA, FL 32757-3470
(352) 735-6034
Mailing address
17 E MAIN ST, MOUNT DORA, FL 32757-3470
(352) 735-6034
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA239175
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9508310839
—
FL
Enumeration date
04/21/2016
Last updated
04/21/2016
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