Provider Demographics
NPI:1366982837
Name:BELONGIE ORTHOPEDICS LLC
Entity type:Organization
Organization Name:BELONGIE ORTHOPEDICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ORTHOPEDIC SURGEON
Authorized Official - Prefix:DR
Authorized Official - First Name:DUANE
Authorized Official - Middle Name:MARC
Authorized Official - Last Name:BELONGIE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-417-0577
Mailing Address - Street 1:3131 N MCMULLEN BOOTH RD
Mailing Address - Street 2:C/O DCMG
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33761-2008
Mailing Address - Country:US
Mailing Address - Phone:727-417-0577
Mailing Address - Fax:
Practice Address - Street 1:3131 N MCMULLEN BOOTH RD
Practice Address - Street 2:C/O DCMG
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33761-2008
Practice Address - Country:US
Practice Address - Phone:727-417-0577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2017-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME97212207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty