Provider Demographics
NPI:1598958118
Name:SAWKAR, BELLA A (MD)
Entity Type:Individual
Prefix:
First Name:BELLA
Middle Name:A
Last Name:SAWKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 8TH ST
Mailing Address - Street 2:
Mailing Address - City:HOLLY HILL
Mailing Address - State:FL
Mailing Address - Zip Code:32117-3460
Mailing Address - Country:US
Mailing Address - Phone:386-334-3647
Mailing Address - Fax:
Practice Address - Street 1:6600 SW HIGHWAY 200
Practice Address - Street 2:STE. 200
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34476-5554
Practice Address - Country:US
Practice Address - Phone:386-265-8776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-27
Last Update Date:2015-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7089208100000X
FLME114686208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR440134501Medicaid