Provider Demographics
NPI:1750670139
Name:JOHN EDWARD BELL DO PA
Entity Type:Organization
Organization Name:JOHN EDWARD BELL DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:954-895-1877
Mailing Address - Street 1:1161 NW 78TH AVE
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33322-5116
Mailing Address - Country:US
Mailing Address - Phone:954-753-9337
Mailing Address - Fax:954-753-9338
Practice Address - Street 1:11240 NW 15TH ST
Practice Address - Street 2:
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33323-2432
Practice Address - Country:US
Practice Address - Phone:954-895-1877
Practice Address - Fax:954-452-8012
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-06
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS-6821208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL340238OtherUNITED HEALTH CARE
FL80938OtherBLUE CROSS BLUE SHIELD
FL250009735OtherPALMETTO RR MEDICARE
FL1012084OtherCAREPLUS
FL252279900Medicaid
FL80938Medicare PIN
FL340238OtherUNITED HEALTH CARE