Provider Demographics
NPI:1700868981
Name:BELTROY, EDUARDO P (MD)
Entity Type:Individual
Prefix:
First Name:EDUARDO
Middle Name:P
Last Name:BELTROY
Suffix:
Gender:M
Credentials:MD
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Other - Credentials:
Mailing Address - Street 1:2901 58TH AVE N
Mailing Address - Street 2:PEDIATRIC GASTROENTEROLOGY, HEPATOLOGY & NUTRITION OF F
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33714-1326
Mailing Address - Country:US
Mailing Address - Phone:727-822-4300
Mailing Address - Fax:727-456-1399
Practice Address - Street 1:3003 W. MARTIN LUTHER KING BLVD
Practice Address - Street 2:3RD FL. MEDICAL ARTS BUILDING
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6307
Practice Address - Country:US
Practice Address - Phone:813-870-4948
Practice Address - Fax:813-554-8044
Is Sole Proprietor?:No
Enumeration Date:2005-11-15
Last Update Date:2014-07-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IA359732080P0206X
FLME1202912080P0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1700868981Medicaid
175150094OtherMEDICARE