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Individual

MR. ALPHONSO A BELSITO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2902 59TH ST W, SUITE C, BRADENTON, FL 34209-7023
(941) 792-1430
(941) 794-3716
Mailing address
2902 59TH ST W, SUITE C, BRADENTON, FL 34209-7023
(941) 792-1430
(941) 794-3716

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME37200
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
068145800
FL
01
110093714
RAILRAOD MEDICARE
FL
01
2117257
AETNA
FL
01
41210
BCBS FLORIDA
FL
Enumeration date
07/12/2006
Last updated
10/22/2008
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