Basic Information
Provider Information
NPI: 1134556400
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BELLODI SCHMIDT
FirstName: FERNANDA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1295 NW 14TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331251610
CountryCode: US
TelephoneNumber: 3052436704
FaxNumber:  
Practice Location
Address1: 1295 NW 14TH ST
Address2:  
City: MIAMI
State: FL
PostalCode: 331251610
CountryCode: US
TelephoneNumber: 3052436704
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/02/2013
LastUpdateDate: 10/15/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207N00000X35.127065OHN Allopathic & Osteopathic PhysiciansDermatology 
207NP0225X35.127065OHN Allopathic & Osteopathic PhysiciansDermatologyPediatric Dermatology
208000000X35.127065OHN Allopathic & Osteopathic PhysiciansPediatrics 
207N00000XME134257FLY Allopathic & Osteopathic PhysiciansDermatology 

No ID Information.


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