Healthcare Provider Details

I. General information

NPI: 1619260239
Provider Name (Legal Business Name): NAVEEN BELLAM M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2011
Last Update Date: 07/10/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

FLORIDA HOSPITAL 2415 N ORANGE AVE SUITE 700
ORLANDO FL
32804
US

IV. Provider business mailing address

FLORIDA HOSPITAL TRANSPLANT INSTITUTE 2415 N ORANGE AVE SUITE 700
ORLANDO FL
32804
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-2474
  • Fax:
Mailing address:
  • Phone: 407-303-2474
  • Fax: 407-303-0680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME137009
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207RA0001X
TaxonomyAdvanced Heart Failure and Transplant Cardiology Physician
License NumberME137009
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: