Organization
BLESSILDA B. LIU M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BLESSILDA BOHOLST LIU M.D., P.A. (INTERNAL MEDICINE)
(352) 746-4684
Entity
Organization
Contact information
Practice address
2623 N FOREST RIDGE BLVD, HERNANDO, FL 34442-5123
(352) 746-4684
(352) 746-5784
Mailing address
2623 N FOREST RIDGE BLVD, HERNANDO, FL 34442-5123
(352) 746-4684
(352) 746-5784
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0072471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME0072471
LISCENCE
FL
Enumeration date
10/17/2007
Last updated
12/07/2010
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