Organization
ELLAS BELLAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS E. PARDO MD (CEO)
(386) 774-0109
Entity
Organization
Contact information
Practice address
2275 N VOLUSIA AVE STE 100, ORANGE CITY, FL 32763-2833
(386) 774-0109
(386) 774-1203
Mailing address
2275 N VOLUSIA AVE, ORANGE CITY, FL 32763-2833
(386) 774-0109
(386) 774-1203
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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