Provider Demographics
NPI:1346263506
Name:HELVESTON, ROBERT D I (DC)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:D
Last Name:HELVESTON
Suffix:I
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 1:1528 ALTMAN RD
Mailing Address - Street 2:
Mailing Address - City:WAUCHULA
Mailing Address - State:FL
Mailing Address - Zip Code:33873-8606
Mailing Address - Country:US
Mailing Address - Phone:863-773-9713
Mailing Address - Fax:863-773-2489
Practice Address - Street 1:1528 ALTMAN RD
Practice Address - Street 2:
Practice Address - City:WAUCHULA
Practice Address - State:FL
Practice Address - Zip Code:33873-8606
Practice Address - Country:US
Practice Address - Phone:863-773-9713
Practice Address - Fax:863-773-2489
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0004751111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL70647Medicare ID - Type Unspecified
FLT85474Medicare UPIN