Provider Demographics
NPI:1922280452
Name:BRIDGET BELLINGAR D.O., P.A.
Entity Type:Organization
Organization Name:BRIDGET BELLINGAR D.O., P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIDGET
Authorized Official - Middle Name:
Authorized Official - Last Name:BELLINGAR
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:727-397-1559
Mailing Address - Street 1:7101 PARK ST. N.
Mailing Address - Street 2:
Mailing Address - City:SEMINOLE
Mailing Address - State:FL
Mailing Address - Zip Code:33777-2831
Mailing Address - Country:US
Mailing Address - Phone:727-397-1559
Mailing Address - Fax:727-391-0838
Practice Address - Street 1:7101 PARK ST. N.
Practice Address - Street 2:
Practice Address - City:SEMINOLE
Practice Address - State:FL
Practice Address - Zip Code:33777-2831
Practice Address - Country:US
Practice Address - Phone:727-397-1559
Practice Address - Fax:727-391-0838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-27
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL82949OtherBC/BS
FLK1823Medicare PIN
FL82949OtherBC/BS