Healthcare Provider Details

I. General information

NPI: 1043444623
Provider Name (Legal Business Name): NAOMI BELL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/11/2009
Last Update Date: 07/27/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 LAFAYETTE ST
PONTIAC MI
48342-2033
US

IV. Provider business mailing address

9070 KIMBERLY BLVD STE 50
BOCA RATON FL
33434-2861
US

V. Phone/Fax

Practice location:
  • Phone: 248-338-7458
  • Fax: 248-338-7513
Mailing address:
  • Phone: 810-235-6812
  • Fax: 810-234-7022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: