Organization
EYE OF HORUS PA
Active
Other names
West Boca Eye Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT BELLOTTE M.D. (CEO, WEST BOCA EYE CENTER)
(561) 488-1001
Entity
Organization
Contact information
Practice address
9325 GLADES RD, SUITE 201, BOCA RATON, FL 33434-3907
(561) 488-1001
Mailing address
9325 GLADES ROAD, SUITE 201, BOCA RATON, FL 33434-3405
(561) 488-1001
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME 93252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08-00553
UNITED HEALTH CARE
FL
01
—
63665
GREAT WEST HEALTH CARE
FL
01
—
7456729
AETNA
FL
01
—
DE5206
RAIL ROAD MEDICARE
FL
01
—
PCS1492
PARTNER CARE
FL
Enumeration date
07/19/2005
Last updated
01/24/2012
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