Individual
MS. JACQUELINE L BELLOMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
2727 W DR MARTIN LUTHER KING JR BLVD STE 460, TAMPA, FL 33607-6001
(813) 879-4328
(813) 443-8152
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9208228
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009422700
—
FL
Enumeration date
08/13/2013
Last updated
07/21/2022
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