Belloso, David

Belloso, David is an individual health care provider with primary practice located at 10141 Big Bend Rd Ste 103 , Riverview FL 33578-7421. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Belloso, David can be contacted via phone (813) 302-8740.

Contact Information

Primary practice address
10141 Big Bend Rd Ste 103 Riverview FL 33578-7421
Fax: (813) 605-6060
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME86869 Florida

Profile Details

NPI number 1942388152
LBN Legal business name Belloso, David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2006
Last updated Jan 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942388152 NPPES
Florida MEDICAID 019624300
Florida MEDICAID 268716000

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