Alex F Bellido MD PA
Organization Active NPI Internal Medicine Physician · Eustis, FL
NPI 1407997141 · NPPES record last updated Sep 6, 2010
Key facts
- NPI
- 1407997141
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- ALEX F BELLIDO MD PA
- Practice address
- 2051 Prevatt St
Eustis, FL 32726-6141 - Phone
- (352) 589-5697
- Fax
- (352) 589-7218
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Alex F. Bellido, M.D.
- Title
- Owner Operator
- Phone
- (352) 589-5697
Practitioners 1
-
Alex Bellido, MD
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D0968177 | Alex F Bellido MD | Certificate of waiver | Dec 5, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050812000701 | FL | Part B Supplier - Clinic/Group Practice | 8628008356 |
Receives reassigned benefits from 1 practitioner Practice locations: Eustis, FL |
National Provider Directory
Locations
2051 Prevatt St
Eustis, FL 32726
Phone (352) 589-4601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
2051 Prevatt St
Eustis, FL 32726-6141
Mailing address
2051 Prevatt St
Eustis, FL 32726-6141
Phone (352) 589-5697
Other providers in Eustis, FL
- Advanced Comprehensive Care Associates, LLC
- Advanced Primary Care Associates, P.a.
- Aging Concepts, LLC
- Agios Corp
- Iliana T Aguilar
- Cameron Julia Algarin
- Nalia Elizabeth Alicea
- Alive and Well Healthcare LLC
- All Grace Family Home, LLC.
- All Smiles Children'S Dentistry, PA
All providers in Eustis, FL · Internal Medicine Physician in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 6, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.