Provider Demographics
NPI:1083834923
Name:HELFELD, CHARLES DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:DAVID
Last Name:HELFELD
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7661 NW 120TH DR
Mailing Address - Street 2:
Mailing Address - City:PARKLAND
Mailing Address - State:FL
Mailing Address - Zip Code:33076-4535
Mailing Address - Country:US
Mailing Address - Phone:754-422-6100
Mailing Address - Fax:954-227-9500
Practice Address - Street 1:7661 NW 120TH DR
Practice Address - Street 2:
Practice Address - City:PARKLAND
Practice Address - State:FL
Practice Address - Zip Code:33076-4535
Practice Address - Country:US
Practice Address - Phone:754-422-6100
Practice Address - Fax:954-227-9500
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH6332111N00000X
NJMC03975111N00000X
NYX006769-1111N00000X
PADC-4475-L111N00000X
DEFI-0000314111N00000X
CA24718111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL22702OtherBLUECROSSANDBLUESHIELD
FLU06536Medicare UPIN
FL22702OtherBLUECROSSANDBLUESHIELD