Belot, Max

Belot, Max is an individual health care provider with primary practice located at 228 Plaza Dr , Lehigh Acres FL 33936-6054. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Belot, Max can be contacted via phone (239) 491-8204.

Contact Information

Primary practice address
228 Plaza Dr Lehigh Acres FL 33936-6054
Phone: (239) 491-8204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN9376899 Florida

Profile Details

NPI number 1912449695
LBN Legal business name Belot, Max
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2016
Last updated Jun 5th, 2019 - about 6 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 1912449695 NPPES
Florida MEDICAID 025046400

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