Provider Demographics
NPI:1659183929
Name:BELLELI, DANIEL (MW485)
Entity type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:BELLELI
Suffix:
Gender:M
Credentials:MW485
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18351 PINES BLVD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33029-1413
Mailing Address - Country:US
Mailing Address - Phone:786-630-3326
Mailing Address - Fax:
Practice Address - Street 1:18351 PINES BLVD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33029-1413
Practice Address - Country:US
Practice Address - Phone:786-381-3030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMW485176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife