Provider Demographics
NPI:1982227104
Name:BELLEFULL LLC
Entity Type:Organization
Organization Name:BELLEFULL LLC
Other - Org Name:NWAUBANI UROGYNECOLOGY & WOMEN'S ACADEMY (NUWA)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:UZOMA
Authorized Official - Middle Name:K
Authorized Official - Last Name:NWAUBANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-204-4631
Mailing Address - Street 1:9580 N US HIGHWAY 301
Mailing Address - Street 2:
Mailing Address - City:WILDWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34785-8772
Mailing Address - Country:US
Mailing Address - Phone:352-633-0703
Mailing Address - Fax:352-399-2168
Practice Address - Street 1:9580 N US HIGHWAY 301
Practice Address - Street 2:
Practice Address - City:WILDWOOD
Practice Address - State:FL
Practice Address - Zip Code:34785-8772
Practice Address - Country:US
Practice Address - Phone:352-633-0703
Practice Address - Fax:352-399-2168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-21
Last Update Date:2022-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory SurgicalGroup - Single Specialty