Individual
DR. AUDREY M. BELLANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
959 W JEFFERSON ST, BROOKSVILLE, FL 34601-2427
(352) 799-7000
(352) 799-7077
Mailing address
959 W JEFFERSON ST, BROOKSVILLE, FL 34601-2427
(352) 799-7000
(352) 799-7077
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS12436
FL
207Q00000X
Family Medicine Physician
UO3111
FL
Other
Enumeration date
06/22/2012
Last updated
07/21/2022
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