| Belfiore Wellness Center | |
|
502 E Hickory Ave Crestview FL 32536-2742 | |
| (850) 683-1100 | |
| (850) 683-0599 |
| Full Name | Belfiore Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 502 E Hickory Ave, Crestview, Florida |
| Authorized Official Name and Position | Kristina Smith (MBR) |
| Authorized Official Contact | 2566773295 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Belfiore Wellness Center 502 E Hickory Ave Crestview FL 32536-2742 Ph: (850) 683-1100 | Belfiore Wellness Center 502 E Hickory Ave Crestview FL 32536-2742 Ph: (850) 683-1100 |
| NPI Number | 1144836446 |
|---|---|
| Provider Enumeration Date | 09/22/2020 |
| Last Update Date | 12/07/2020 |
| Medicare PECOS PAC ID | 9931510773 |
|---|---|
| Medicare Enrollment ID | O20201130000773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144836446 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Kristina Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942502786 PECOS PAC ID: 8325223985 Enrollment ID: I20191023002633 |
| Provider Name | Mckinze Mcalister |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902594559 PECOS PAC ID: 3779942875 Enrollment ID: I20230707001767 |
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