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NPI Code Detail

MEDICARE: PHILLIPA ST. MARIE-BELL RN

MEDICARE:   PHILLIPA  ST. MARIE-BELL  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
1163W00000XRegistered NurseRN 3193462FL

General Provider Information

NPI Number : 1194174276
Entity Type Code : Individual
Provider Name (Legal Business Name) : PHILLIPA ST. MARIE-BELL RN
Provider Business Mailing Address
First Line : 940 W OAKLAND AVE
Second Line :
City : OAKLAND
State : FL
Zip : 34787-1802
Country : US
Telephone Number : 407-654-7520
Fax Number :
Provider Business Practice Location Address
First Line : 940 W OAKLAND AVE
Second Line :
City : OAKLAND
State : FL
Zip : 34787-1802
Country : US
Telephone Number : 407-654-7520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2016
Last Update Date : 06/08/2016

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Directions to “ PHILLIPA ST. MARIE-BELL RN” Practice Location

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