Provider Demographics
NPI:1770453698
Name:BELVIS, ANDERIA ALESHIA
Entity type:Individual
Prefix:
First Name:ANDERIA
Middle Name:ALESHIA
Last Name:BELVIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1943 HAMILTON ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:FL
Mailing Address - Zip Code:32351-4103
Mailing Address - Country:US
Mailing Address - Phone:850-694-2959
Mailing Address - Fax:
Practice Address - Street 1:1943 HAMILTON ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:FL
Practice Address - Zip Code:32351-4103
Practice Address - Country:US
Practice Address - Phone:850-694-2959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-06
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL128190200251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Single Specialty