Organization
HELIOS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL A WEITZNER MD (PRESIDENT)
(813) 631-0102
Entity
Organization
Contact information
Practice address
3262 COVE BEND DR, TAMPA, FL 33613-2752
(813) 631-0102
(813) 631-9198
Mailing address
3262 COVE BEND DR, TAMPA, FL 33613-2752
(813) 631-0102
(813) 631-9198
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME69102
FL
2084P0800X
Psychiatry Physician
ME69102
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618688
CIGNA PROVIDER NUMBER
FL
01
—
27908
BCBS ID NUMBER
FL
01
—
7585571
AETNA PROVIDER NUMBER
FL
Enumeration date
07/10/2006
Last updated
09/18/2007
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