Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QA0401X | Family Doctor - Addiction Medicine | ME71349 | FL |
Y | 207W00000X | Ophthalmologist | ME71349 | FL |
NPI | 1760419899 |
---|---|
Provider Name | John T Bell |
First Address | Tallahassee, FL 32312-1713 |
Second Address | Tallahassee, FL 32308-4421 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2006 |
Last Update Date | 15/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1498126 | GHI (01) | FL |
250675100 | (05) | FL |
7066508009 | CIGNA (01) | FL |
P00274210 | RR MEDICARE (01) | FL |