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1023011905

NPI Code Detail

MEDICARE: DAVID A BELLAMY

MEDICARE: DAVID A BELLAMY

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
1	207X00000X	Orthopaedic Surgery Physician	ME81354	FL
2	207X00000X	Orthopaedic Surgery Physician	054463	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023011905
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID A BELLAMY

Provider Business Mailing Address
First Line	:	3334 CAPITAL MEDICAL BLVD
Second Line	:	STE. 400
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4470
Country	:	US
Telephone Number	:	850-877-8174
Fax Number	:	850-877-5636

Provider Business Practice Location Address
First Line	:	3334 CAPITAL MEDICAL BLVD
Second Line	:	STE. 400
City	:	TALLAHASSEE
State	:	FL
Zip	:	32308-4470
Country	:	US
Telephone Number	:	850-877-8174
Fax Number	:	850-877-5636

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	03/06/2012

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1073516837 — THOMAS C HANEY MD
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1285637033 — FLOYD R JAGGEARS MD
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1093718868 — GREGG A ALEXANDER MD
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Directions to “ DAVID A BELLAMY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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