Healthcare Provider Details

I. General information

NPI: 1730101536
Provider Name (Legal Business Name): MICHAEL C BELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 N STONE ST
DELAND FL
32720-3255
US

IV. Provider business mailing address

809 N STONE ST
DELAND FL
32720-3255
US

V. Phone/Fax

Practice location:
  • Phone: 386-734-1824
  • Fax: 386-738-7497
Mailing address:
  • Phone: 386-734-1824
  • Fax: 386-738-7497

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberME38320
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: