| Blessilda B. Liu M.d., P.a. | |
|
2623 N Forest Ridge Blvd Hernando FL 34442-5123 | |
| (352) 746-4684 | |
| (352) 746-5784 |
| Full Name | Blessilda B. Liu M.d., P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2623 N Forest Ridge Blvd, Hernando, Florida |
| Authorized Official Name and Position | Blessilda Boholst Liu (INTERNAL MEDICINE) |
| Authorized Official Contact | 3527464684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blessilda B. Liu M.d., P.a. 2623 N Forest Ridge Blvd Hernando FL 34442-5123 Ph: (352) 746-4684 | Blessilda B. Liu M.d., P.a. 2623 N Forest Ridge Blvd Hernando FL 34442-5123 Ph: (352) 746-4684 |
| NPI Number | 1174712970 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 8224226824 |
|---|---|
| Medicare Enrollment ID | O20101227000189 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174712970 | NPI | - | NPPES |
| ME0072471 | Other | FL | LISCENCE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0072471 (Florida) | Primary |
| Provider Name | Blessilda Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720022601 PECOS PAC ID: 9830387430 Enrollment ID: I20101227000234 |
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