Provider Demographics
NPI:1083647010
Name:HELIOS CENTER LLC
Entity Type:Organization
Organization Name:HELIOS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:WEITZNER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-631-0102
Mailing Address - Street 1:3262 COVE BEND DR
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33613-2752
Mailing Address - Country:US
Mailing Address - Phone:813-631-0102
Mailing Address - Fax:813-631-9198
Practice Address - Street 1:3262 COVE BEND DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33613-2752
Practice Address - Country:US
Practice Address - Phone:813-631-0102
Practice Address - Fax:813-631-9198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-10
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME69102207L00000X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL0618688OtherCIGNA PROVIDER NUMBER
FL7585571OtherAETNA PROVIDER NUMBER
FL27908OtherBCBS ID NUMBER
FL0618688OtherCIGNA PROVIDER NUMBER
FL27908OtherBCBS ID NUMBER