Healthcare Provider Details

I. General information

NPI: 1952934028
Provider Name (Legal Business Name): BELANNE ESTIME
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 E 25TH ST
HIALEAH FL
33013-3817
US

IV. Provider business mailing address

16865 SW 49TH CT
MIRAMAR FL
33027-4907
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number27398
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: