Healthcare Provider Details

I. General information

NPI: 1649105164
Provider Name (Legal Business Name): JULIAN BELL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6250 PARK BLVD N
PINELLAS PARK FL
33781-3237
US

IV. Provider business mailing address

249 JASPER ST LOT 133
LARGO FL
33770-1215
US

V. Phone/Fax

Practice location:
  • Phone: 727-541-2520
  • Fax:
Mailing address:
  • Phone: 727-310-5461
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License NumberMA94453
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: