Individual
CHRISTIAN OLOF BENGTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6801 4TH ST N, ST PETERSBURG, FL 33702-6844
(727) 822-3238
(727) 823-1278
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD465416
PA
207Q00000X
Family Medicine Physician
Primary
ME150830
FL
207Q00000X
Family Medicine Physician
MT210797
PA
Other
Enumeration date
01/19/2015
Last updated
07/08/2022
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