Provider Demographics
NPI:1356435085
Name:BELL, JOHN EDWARD (DO)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:EDWARD
Last Name:BELL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:11240 NW 15TH ST
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33323-2432
Mailing Address - Country:US
Mailing Address - Phone:954-895-1877
Mailing Address - Fax:954-452-8012
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS6821208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650800937OtherCAREPLUS
FL80938OtherBLUE CROSS BLUE SHEILD FL
FL650800937OtherAVMED
FL650800937OtherUNITED HEALTH CARE
650800937OtherBEST CHOICE
FL650800937OtherHUMANA
FL252279900Medicaid
FL650800937OtherNEIGHBORHOOD HEALTH
FL8641732OtherCIGNA
27732OtherWELLCARE
FL650800937OtherTRICARE
FL2147174OtherAETNA
FL250009735OtherRAILROAD MEDICARE