Provider Demographics
NPI:1821045352
Name:BELILOVSKIY, ELINA S (FNP)
Entity Type:Individual
Prefix:MRS
First Name:ELINA
Middle Name:S
Last Name:BELILOVSKIY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 25487
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34277-2487
Mailing Address - Country:US
Mailing Address - Phone:941-202-5342
Mailing Address - Fax:855-253-4836
Practice Address - Street 1:425 COMMERCIAL CT
Practice Address - Street 2:SUITE 112
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34292
Practice Address - Country:US
Practice Address - Phone:941-400-9974
Practice Address - Fax:941-921-0957
Is Sole Proprietor?:No
Enumeration Date:2006-05-30
Last Update Date:2018-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA233160363LF0000X
FLARNP9246237363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0322342Medicaid
FL1224573OtherWELLCARE
MANP4186OtherBCBS MA
FLP937666OtherOPTIMUM
FLP997746OtherFREEDOM
FLP01808685OtherCLEAR HEALTH ALLIANCE
FL308093500Medicaid
FL398533OtherAVMED
FLP01379839OtherRR MEDICARE
FLY103BOtherBCBS FL
FLP997746OtherFREEDOM
FLP937666OtherOPTIMUM
MANP4186OtherBCBS MA
FLU8084ZMedicare PIN
FLU8084YMedicare PIN