Bellafiore, Jack M

Bellafiore, Jack M is an individual health care provider with primary practice located at 1117 N Olive Ave Suite 202, West Palm Beach FL 33401-3520. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bellafiore, Jack M can be contacted via phone (561) 655-4450.

Contact Information

Primary practice address
1117 N Olive Ave Suite 202 West Palm Beach FL 33401-3520
Phone: (561) 655-4450
Fax: (561) 655-4469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9102570 Florida

Profile Details

NPI number 1215991690
LBN Legal business name Bellafiore, Jack M
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 24th, 2008 - about 17 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 1215991690 NPPES
Florida MEDICAID 291679700

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