Individual
AWILDA NELIDA BELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 287-2274
Mailing address
PO BOX 102222, ATLANTA, GA 30368-2222
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA0001619
FL
363AM0700X
Medical Physician Assistant
PA0001619
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008049000
—
FL
Enumeration date
09/18/2009
Last updated
03/24/2026
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