MEDICARE: DR. TERRY WAYNE BELL MD

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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	J8202	TX
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	ME61735	FL
3	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	35.045175	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1083610802
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TERRY WAYNE BELL MD

Provider Business Mailing Address
First Line	:	7111 FAIRWAY DR
Second Line	:	SUITE 400
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-4204
Country	:	US
Telephone Number	:	800-330-6565
Fax Number	:	561-712-7349

Provider Business Practice Location Address
First Line	:	2025 INDIAN ROCKS RD S
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33774-1035
Country	:	US
Telephone Number	:	727-581-9474
Fax Number	:

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

Provider Enumeration Date	:	06/27/2005
Last Update Date	:	05/20/2011

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