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Individual

DR. BRENT WILLIAM BELLOTTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
9325 GLADES RD, SUITE 201, BOCA RATON, FL 33434-3907
(561) 488-1001
Mailing address
9325 GLADES ROAD, SUITE 201, BOCA, FL 33434
(561) 488-1001

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME92938
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0108909
GHI
FL
01
08-00553
UNITED HEALTH CARE
FL
01
11021
DIMENSION
FL
01
16021
BLUE CROSS BLUE SHIELD
FL
01
201817723A
HUMANA
FL
05
2764814 00
FL
01
294278
AMERI GROUP
FL
01
300438
AV MED
FL
01
6290625
CIGNA
FL
01
63665
GREAT WEST
FL
01
7281683
AETNA
FL
01
9396256
PHCS
FL
01
ME92938
AMERI PLAN
FL
01
P00297975
RAIL ROAD MEDICARE
FL
01
P3656087
OXFORD
FL
01
PCS1492
PARTNER CARE
FL
Enumeration date
07/19/2005
Last updated
01/24/2012
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