Provider Demographics
NPI:1982681490
Name:STEPHEN L HELGEMO JR MD PA
Entity Type:Organization
Organization Name:STEPHEN L HELGEMO JR MD PA
Other - Org Name:FLORIDA HAND CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:L
Authorized Official - Last Name:HELGEMO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:941-625-6547
Mailing Address - Street 1:18344 MURDOCK CIR
Mailing Address - Street 2:
Mailing Address - City:PORT CHARLOTTE
Mailing Address - State:FL
Mailing Address - Zip Code:33948-1008
Mailing Address - Country:US
Mailing Address - Phone:941-625-6547
Mailing Address - Fax:941-629-6415
Practice Address - Street 1:18344 MURDOCK CIR
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33948-1008
Practice Address - Country:US
Practice Address - Phone:941-625-6547
Practice Address - Fax:941-629-6415
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-27
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0072747207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand SurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL21069OtherBCBS
2193065OtherAETNA
FL280461OtherWELLCARE OF FL
FL279079300Medicaid
8561780006OtherCIGNA
FL280461OtherWELLCARE OF FL
8561780006OtherCIGNA
FLDE0280Medicare PIN
FL279079300Medicaid