MEDICARE: AKILAH L BELLINGER RN

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	164W00000X	Licensed Practical Nurse	PN5201447	FL
2	163W00000X	Registered Nurse	RN9676785	FL

General Provider Information

NPI Number	:	1043039415
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AKILAH L BELLINGER RN

Provider Business Mailing Address
First Line	:	999 DOUGLAS AVE
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2064
Country	:	US
Telephone Number	:	706-407-5521
Fax Number	:

Provider Business Practice Location Address
First Line	:	999 DOUGLAS AVE
Second Line	:
City	:	ALTAMONTE SPRINGS
State	:	FL
Zip	:	32714-2064
Country	:	US
Telephone Number	:	689-331-8352
Fax Number	:

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

Provider Enumeration Date	:	10/03/2024
Last Update Date	:	08/06/2025

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