Individual
BENJAMIN HELGEMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
ME70913
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250252600
—
FL
01
—
31302
BLUE CROSS ID
FL
Enumeration date
11/16/2005
Last updated
07/01/2009
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