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NPI Code Detail

MEDICARE: DR. ANNETTE DAVIDSON BELL M.D.

MEDICARE: DR. ANNETTE DAVIDSON BELL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME95562FL
2207Q00000XFamily Medicine Physician49769GA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
156578OTHERFLBCBS
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013913854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANNETTE DAVIDSON BELL M.D.
Provider Business Mailing Address
First Line : 820 PRUDENTIAL DR STE 713
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8209
Country : US
Telephone Number : 904-396-5682
Fax Number : 904-346-0864
Provider Business Practice Location Address
First Line : 800 PRUDENTIAL DR
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32207-8202
Country : US
Telephone Number : 904-396-5682
Fax Number : 904-346-0864
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2005
Last Update Date : 11/05/2025

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