MEDICARE: BELLA CESCA INTERNATIONAL, LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1891774717
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELLA CESCA INTERNATIONAL, LLC

Provider Business Mailing Address
First Line	:	100 CORAL CT
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32082-2418
Country	:	US
Telephone Number	:	904-543-8459
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CORAL CT
Second Line	:
City	:	PONTE VEDRA
State	:	FL
Zip	:	32082-2418
Country	:	US
Telephone Number	:	904-543-8459
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	FRANKIE SAVERIO ABBRUZZINO
Credential	:
Telephone Number	:	904-543-8459

Provider Enumeration Date	:	01/10/2006
Last Update Date	:	08/22/2020

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