MEDICARE: DR. PETRONELLA TAKU BELL M.D

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	2084P0804X	Child & Adolescent Psychiatry Physician	ME157646	FL
2	2084P0800X	Psychiatry Physician	ME157646	FL

General Provider Information

NPI Number	:	1861768392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETRONELLA TAKU BELL M.D

Provider Business Mailing Address
First Line	:	3425 BANNERMAN RD STE 105-217
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-7062
Country	:	US
Telephone Number	:	850-567-9707
Fax Number	:	800-962-0493

Provider Business Practice Location Address
First Line	:	1334 TIMBERLANE RD STE 18
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32312-1766
Country	:	US
Telephone Number	:	850-567-9707
Fax Number	:	800-692-0493

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

Provider Enumeration Date	:	03/29/2012
Last Update Date	:	09/05/2025

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