Organization · NPI-2

Belfiore Wellness Center

Clinic/Center · Crestview, FL

NPI number1144836446
StatusActive
Last updated in NPPESJun 9, 2026

Details

NPI
1144836446
Entity type
Organization (NPI-2)
Legal business name
Belfiore Wellness Center
Organization subpart
No
Enumeration date
Sep 22, 2020
Certification date
Jun 9, 2026
Last updated
Jun 9, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes
363L00000X Nurse Practitioner––

Practice location

502 E Hickory Ave
Crestview, FL 32536-2742

Phone 850-683-1100 · Fax 850-683-0599

Mailing address

502 E Hickory Ave
Crestview, FL 32536-2742

Phone 850-683-1100 · Fax 850-683-0599

Other practice locations

17457 Us Highway 331 S
Freeport, FL 32439-4245

Phone 850-683-1100 · Fax 850-683-0599

Authorized official

Kristina Smith
Ambr
8506831100

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