| Michael E. Belotti, D.o., P.a. | |
|
10111 Forest Hill Blvd Suite 202 Wellington FL 33414-6108 | |
| (561) 798-1995 | |
| (561) 798-4422 |
| Full Name | Michael E. Belotti, D.o., P.a. |
|---|---|
| Speciality | Family Medicine |
| Location | 10111 Forest Hill Blvd, Wellington, Florida |
| Authorized Official Name and Position | Michael E. Belotti (PRESIDENT) |
| Authorized Official Contact | 5617981995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michael E. Belotti, D.o., P.a. 10111 Forest Hill Blvd Suite 202 Wellington FL 33414-6108 Ph: (561) 798-1995 | Michael E. Belotti, D.o., P.a. 10111 Forest Hill Blvd Suite 202 Wellington FL 33414-6108 Ph: (561) 798-1995 |
| NPI Number | 1154623155 |
|---|---|
| Provider Enumeration Date | 11/23/2010 |
| Last Update Date | 10/27/2011 |
| Medicare PECOS PAC ID | 2466648712 |
|---|---|
| Medicare Enrollment ID | O20101129000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154623155 | NPI | - | NPPES |
| DZ247A | Other | FL | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OS4654 (Florida) | Primary |
| Provider Name | Michael Belotti |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861541195 PECOS PAC ID: 2264625821 Enrollment ID: I20101015000448 |
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