Dr David Belloso, MD | |
10141 Big Bend Rd Ste 103, Riverview, FL 33578-7421 | |
(813) 302-8740 | |
(813) 605-6060 |
Full Name | Dr David Belloso |
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Gender | Male |
Speciality | Pediatrics |
Location | 10141 Big Bend Rd Ste 103, Riverview, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942388152 | NPI | - | NPPES |
019624300 | Medicaid | FL | |
268716000 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | ME86869 (Florida) | Primary |
Entity Name | Baycare Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Mailing Address | Practice Location Address |
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Dr David Belloso, MD Po Box 10744, Clearwater, FL 33757-8744 Ph: (727) 532-0002 | Dr David Belloso, MD 10141 Big Bend Rd Ste 103, Riverview, FL 33578-7421 Ph: (813) 302-8740 |
Dr. Heather Sue Thole, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11948 Balm Riverview Rd, Riverview, FL 33569 Phone: 813-236-9000 Fax: 813-236-9002 | |
Dr. Peter Allen Kosoff, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9406 Balm Riverview Road, Riverview, FL 33569 Phone: 813-236-9310 Fax: 813-236-9311 | |
Christina Estrada Lee, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Gerard R Hough, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 11122 Circle Press Ln, Riverview, FL 33578 Phone: 813-681-1410 | |
Dr. Tanya Michelle Liberato, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 10729 Queens Town Dr, Riverview, FL 33579 Phone: 813-672-3497 Fax: 813-741-2418 | |
Joseph Leon Portnoy, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4035 Crescent Park Dr, Riverview, FL 33578 Phone: 813-775-4030 | |
Alrick Leshonda Davis Drummond, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 13043 Summerfield Square Dr, Riverview, FL 33578 Phone: 813-677-2222 Fax: 813-677-2241 |