Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | PO2995 | FL |
NPI | 1053376061 |
---|---|
Provider Name | Dr. Andrew M Belis |
First Address | Fort Myers, FL 33919 |
Second Address | Fort Myers, FL 33919 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/04/2006 |
Last Update Date | 06/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0670070001 | MEDICARE DME (01) | FL |
U92044 | (02) | FL |