Provider Demographics
NPI:1740264373
Name:BELMANA, MARCELA (RPT)
Entity type:Individual
Prefix:
First Name:MARCELA
Middle Name:
Last Name:BELMANA
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6450 W ATLANTIC BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:MARGATE
Mailing Address - State:FL
Mailing Address - Zip Code:33063-4532
Mailing Address - Country:US
Mailing Address - Phone:954-979-1077
Mailing Address - Fax:954-979-2977
Practice Address - Street 1:6450 W ATLANTIC BLVD STE 1
Practice Address - Street 2:
Practice Address - City:MARGATE
Practice Address - State:FL
Practice Address - Zip Code:33063-4532
Practice Address - Country:US
Practice Address - Phone:954-979-1077
Practice Address - Fax:954-979-2977
Is Sole Proprietor?:No
Enumeration Date:2005-12-06
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT8083225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL200130964OtherTAX ID
FLY4949AMedicare PIN