Individual
JOHAN BELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
81 NW 48TH CT, MIAMI, FL 33126-5113
(786) 236-4653
Mailing address
81 NW 48TH CT, MIAMI, FL 33126-5113
(786) 236-4653
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
9414770
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN11021804
FL
Other
Enumeration date
02/19/2021
Last updated
10/04/2022
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