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Organization

HELGEMO & LIOU PEDIATRICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEWITT BENJAMIN HELGEMO MD (PARTNER)
(941) 629-4464
Entity
Organization

Contact information

Practice address
2040C TAMIAMI TRL, PORT CHARLOTTE, FL 33948-2178
(941) 629-4464
(941) 629-4701
Mailing address
2040C TAMIAMI TRL, PORT CHARLOTTE, FL 33948-2178
(941) 629-4464
(941) 629-4701

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
45354
BCBS OF FL
FL
Enumeration date
04/27/2010
Last updated
04/27/2010
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