Provider Demographics
NPI:1194564369
Name:BELLE MEDICAL GROUP INC.
Entity type:Organization
Organization Name:BELLE MEDICAL GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:
Authorized Official - Last Name:GOPIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-315-2913
Mailing Address - Street 1:6821 HENDRY DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7468
Mailing Address - Country:US
Mailing Address - Phone:561-315-2913
Mailing Address - Fax:
Practice Address - Street 1:1050 NW 15TH ST STE 201A
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1342
Practice Address - Country:US
Practice Address - Phone:561-315-2913
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-20
Last Update Date:2024-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty