Provider Demographics
NPI:1285063677
Name:BELOVS, ANDREJS (PA-C)
Entity type:Individual
Prefix:MR
First Name:ANDREJS
Middle Name:
Last Name:BELOVS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 3445
Mailing Address - Street 2:
Mailing Address - City:N FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33918-3445
Mailing Address - Country:US
Mailing Address - Phone:239-369-3333
Mailing Address - Fax:239-369-4837
Practice Address - Street 1:2625 LEE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33971-1569
Practice Address - Country:US
Practice Address - Phone:239-369-3333
Practice Address - Fax:239-369-4837
Is Sole Proprietor?:No
Enumeration Date:2013-11-05
Last Update Date:2023-12-01
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLPA9107387363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant