| University Physical Medicine Inc | |
|
1224 Ocala Rd Tallahassee FL 32304-1548 | |
| (850) 576-2129 | |
| (850) 576-9602 |
| Full Name | University Physical Medicine Inc |
|---|---|
| Speciality | General Practice |
| Location | 1224 Ocala Rd, Tallahassee, Florida |
| Authorized Official Name and Position | Nicholas Belletto (OWNER/DOCTOR) |
| Authorized Official Contact | 8505762129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| University Physical Medicine Inc 1224 Ocala Rd Tallahassee FL 32304-1548 Ph: (850) 576-2129 | University Physical Medicine Inc 1224 Ocala Rd Tallahassee FL 32304-1548 Ph: (850) 576-2129 |
| NPI Number | 1679811970 |
|---|---|
| Provider Enumeration Date | 01/21/2013 |
| Last Update Date | 02/04/2014 |
| Medicare PECOS PAC ID | 7113447798 |
|---|---|
| Medicare Enrollment ID | O20250226001569 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679811970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | RN 2567282 (Florida) | Secondary |
| 208D00000X | General Practice | ME 57039 (Florida) | Primary |
| Provider Name | Celeste Lind |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861707218 PECOS PAC ID: 3476724196 Enrollment ID: I20110928000788 |
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