Provider Demographics
NPI:1568784247
Name:BELLE B. ALMOJERA, M.D., L.L.C.
Entity Type:Organization
Organization Name:BELLE B. ALMOJERA, M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BELLE
Authorized Official - Middle Name:BUCCAT
Authorized Official - Last Name:ALMOJERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:904-771-5910
Mailing Address - Street 1:5601 TIMUQUANA RD
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32210-8054
Mailing Address - Country:US
Mailing Address - Phone:904-771-5910
Mailing Address - Fax:904-771-1401
Practice Address - Street 1:5601 TIMUQUANA RD
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32210-8054
Practice Address - Country:US
Practice Address - Phone:904-771-5910
Practice Address - Fax:904-771-1401
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME29414261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL059239100Medicaid
FLD21363Medicare UPIN