MEDICARE: DR. ANDREW M BELIS DPM

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	213ES0103X	Foot & Ankle Surgery Podiatrist	PO2995	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0670070001	OTHER	FL	MEDICARE DME

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053376061
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREW M BELIS DPM

Provider Business Mailing Address
First Line	:	12670 CREEKSIDE LANE
Second Line	:	SUITE 202
City	:	FORT MYERS
State	:	FL
Zip	:	33919
Country	:	US
Telephone Number	:	239-482-2663
Fax Number	:	239-482-7585

Provider Business Practice Location Address
First Line	:	12670 CREEKSIDE LN STE 202
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33919-3370
Country	:	US
Telephone Number	:	239-445-2112
Fax Number	:	239-402-8460

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

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	05/02/2025

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Directions to “ DR. ANDREW M BELIS DPM” Practice Location

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