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NPI Code Detail

MEDICARE: BELLADONNA OB/GYN & ASSOCIATES PA

MEDICARE: BELLADONNA OB/GYN & ASSOCIATES PA
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
1207V00000XObstetrics & Gynecology PhysicianME069253FL

General Provider Information

NPI Number : 1417142951
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELLADONNA OB/GYN & ASSOCIATES PA
Provider Business Mailing Address
First Line : 1194 MARINER BLVD
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-5603
Country : US
Telephone Number : 352-686-3127
Fax Number : 352-686-3184
Provider Business Practice Location Address
First Line : 1194 MARINER BLVD
Second Line :
City : SPRING HILL
State : FL
Zip : 34609-5603
Country : US
Telephone Number : 352-686-3127
Fax Number : 352-686-3184
Authorized Official
Title or Position : PRESIDENT
Name : DR. DONNA C BENNETT
Credential : MD
Telephone Number : 352-686-3127
Provider Enumeration Date : 09/07/2007
Last Update Date : 04/01/2008

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Directions to “BELLADONNA OB/GYN & ASSOCIATES PA ” Practice Location

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