Organization
WEST FLORIDA MEDICAL ASSOCIATES, PA
Active
Other names
Bellam Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJENDRA P BELLAM M.D. (PRESIDENT)
(352) 465-1199
Entity
Organization
Contact information
Practice address
20021 SW 111TH PL, DUNNELLON, FL 34432-4786
(352) 465-1199
(352) 465-1207
Mailing address
PO BOX 640573, BEVERLY HILLS, FL 34464-0573
(352) 746-1558
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
ME0060472
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
660072700
—
FL
Enumeration date
01/23/2007
Last updated
05/23/2025
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