Healthcare Provider Details

I. General information

NPI: 1194010108
Provider Name (Legal Business Name): RODNEY STEPHEN BELBIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2011
Last Update Date: 07/12/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 SW 4TH AVE
GAINESVILLE FL
32601-6430
US

IV. Provider business mailing address

625 SW 4TH AVE
GAINESVILLE FL
32601-6430
US

V. Phone/Fax

Practice location:
  • Phone: 352-392-6771
  • Fax:
Mailing address:
  • Phone: 352-392-6771
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberTRN15631
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: