Provider Demographics
NPI:1003429481
Name:BELLO, NAFISAT (PHARMD, RPH)
Entity Type:Individual
Prefix:
First Name:NAFISAT
Middle Name:
Last Name:BELLO
Suffix:
Gender:F
Credentials:PHARMD, RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16000 N CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33903-2107
Mailing Address - Country:US
Mailing Address - Phone:239-656-3419
Mailing Address - Fax:
Practice Address - Street 1:16000 N CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33903-2107
Practice Address - Country:US
Practice Address - Phone:239-656-3419
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS60250183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist