| Bella H. Dattani, Md Pa | |
|
1035 N Orlando Ave Suite 201 Winter Park FL 32789-4850 | |
| (407) 678-3255 | |
| (407) 599-5966 |
| Full Name | Bella H. Dattani, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 1035 N Orlando Ave, Winter Park, Florida |
| Authorized Official Name and Position | Bella H Dattani (PHYSICIAN/OWNER) |
| Authorized Official Contact | 4076783255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bella H. Dattani, Md Pa 1035 N Orlando Ave Suite 201 Winter Park FL 32789-4850 Ph: (407) 678-3255 | Bella H. Dattani, Md Pa 1035 N Orlando Ave Suite 201 Winter Park FL 32789-4850 Ph: (407) 678-3255 |
| NPI Number | 1033476320 |
|---|---|
| Provider Enumeration Date | 04/12/2012 |
| Last Update Date | 01/11/2016 |
| Medicare PECOS PAC ID | 7618130949 |
|---|---|
| Medicare Enrollment ID | O20120523000346 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033476320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME107329 (Florida) | Primary |
| Provider Name | Bella H Dattani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972754687 PECOS PAC ID: 8820282338 Enrollment ID: I20101028001060 |
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