Individual
IDA JUTTING BELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1175 DUNLAWTON AVE STE 102, PORT ORANGE, FL 32127-4741
(386) 316-8092
Mailing address
2580 PALM DR, PORT ORANGE, FL 32128-6557
(386) 316-8092
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
200493
ND
363L00000X
Nurse Practitioner
257346
MT
363L00000X
Nurse Practitioner
Primary
9257624
FL
Other
Enumeration date
07/14/2016
Last updated
03/12/2025
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