Individual
MRS. BLESSILDA BOHOLST LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
942 E NORVELL BRYANT HWY, HERNANDO, FL 34442-2826
(352) 419-8924
(352) 419-8927
Mailing address
PO BOX 640524, BEVERLY HILLS, FL 34464-0524
(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
05
—
253280800
—
FL
Enumeration date
06/15/2006
Last updated
05/30/2014
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