Healthcare Provider Details

I. General information

NPI: 1720666761
Provider Name (Legal Business Name): BELLO MID-LEVEL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/31/2021
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

420 SE 8TH ST
OCALA FL
34471-3760
US

IV. Provider business mailing address

420 SE 8TH ST
OCALA FL
34471-3760
US

V. Phone/Fax

Practice location:
  • Phone: 352-304-6480
  • Fax: 352-304-6558
Mailing address:
  • Phone: 352-304-6480
  • Fax: 352-304-6558

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MS. MELISSA BELLO
Title or Position: NURSE PRACTIONER
Credential: APRN
Phone: 352-208-3977