Bellabrey Medical Services LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

L09000050499 Issued in FL

Legal business name

BELLABREY MEDICAL SERVICES LLC

Practice address

623 Rapid Falls Dr
Brandon, FL 33511-7504

Phone

(813) 220-6241

NPI assigned

May 31, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Amy L. Willitzer, ARNP-C

Title

Owner

Phone

(813) 220-6241

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1243728000000",
    "number": "1487880878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 RAPID FALLS DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 RAPID FALLS DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335117504",
            "telephone_number": "813-220-6241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLABREY MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-31",
        "last_updated": "2009-05-31",
        "status": "A",
        "authorized_official_last_name": "WILLITZER",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-220-6241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP-C"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "FL",
            "license": "L09000050499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "307330100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Rose Belekevich, NP
• Elizabeth Belfiore
• Alaysha Bell
• Natasha Monica Bell
• Samuel Joseph Bell, LIC. SPEECH PATH
• Haylie C Belles I
• Dawn Natalie Belof-Ganter, D.C.
• Daja Marcella Belt, RCSWI
• William K Belton Jr., D.M.D.
• Jessica Beltrame

• Nursing Facility/Intermediate Care Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Nursing Facility/Intermediate Care Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.