Provider Demographics
NPI:1275627697
Name:BELJIC, STEVEN (DO)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:
Last Name:BELJIC
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13777 BELCHER RD S
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4003
Mailing Address - Country:US
Mailing Address - Phone:727-544-1600
Mailing Address - Fax:727-545-2555
Practice Address - Street 1:13777 BELCHER RD S
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4003
Practice Address - Country:US
Practice Address - Phone:727-544-1600
Practice Address - Fax:727-545-2555
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-02
Last Update Date:2021-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8039207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL278636OtherAVMED
FL2820505OtherAETNA
FL262793100Medicaid
FL01882OtherBCBS
FL100016398Medicare ID - Type UnspecifiedPALMETTO GBA
FL2820505OtherAETNA
FL262793100Medicaid