MEDICARE: DR. ANNETTE DAVIDSON BELL M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	25MP01002100	NJ
2	207Q00000X	Family Medicine Physician	49769	GA
3	207Q00000X	Family Medicine Physician	ME95562	FL
4	363A00000X	Physician Assistant	25MP01002100	NJ

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	56578	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1013913854
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANNETTE DAVIDSON BELL M.D.

Provider Business Mailing Address
First Line	:	820 PRUDENTIAL DR STE 713
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8209
Country	:	US
Telephone Number	:	904-396-5682
Fax Number	:	904-346-0864

Provider Business Practice Location Address
First Line	:	800 PRUDENTIAL DR
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32207-8202
Country	:	US
Telephone Number	:	904-396-5682
Fax Number	:	904-346-0864

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	04/29/2026

800 PRUDENTIAL DR STE 710
JACKSONVILLE, FL
32207-8202

Practice Phone: 478-335-0934
Practice Fax: