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Organization

UNIVERSITY PHYSICAL MEDICINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NICHOLAS BELLETTO D.C. (OWNER/DOCTOR)
(850) 576-2129
Entity
Organization

Contact information

Practice address
1224 OCALA RD, TALLAHASSEE, FL 32304-1548
(850) 576-2129
(850) 576-9602
Mailing address
1224 OCALA RD, TALLAHASSEE, FL 32304-1548
(850) 576-2129
(850) 576-9602

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME 57039
FL
208D00000X
General Practice Physician
RN 2567282
FL

Other

Enumeration date
01/21/2013
Last updated
02/04/2014
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