Individual
DR. DAVID BELLOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10141 BIG BEND RD STE 103, RIVERVIEW, FL 33578-7421
(813) 302-8740
(813) 605-6060
Mailing address
PO BOX 10744, CLEARWATER, FL 33757-8744
(727) 532-0002
(727) 266-4943
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME86869
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019624300
—
FL
05
—
268716000
—
FL
Enumeration date
11/02/2006
Last updated
01/11/2019
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