Healthcare Provider Details

I. General information

NPI: 1699464677
Provider Name (Legal Business Name): MADHAVI DEVI MONTAS BELLO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2023
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5100 COCONUT CREEK PKWY
MARGATE FL
33063-3913
US

IV. Provider business mailing address

2550 SW 7TH ST APT 7410
POMPANO BEACH FL
33069-2339
US

V. Phone/Fax

Practice location:
  • Phone: 954-281-7700
  • Fax:
Mailing address:
  • Phone: 516-298-2641
  • Fax: 272-777-9223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME181015
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: