Male or Other

Christian O. Bengtson MD

Family Medicine Physician in St Petersburg, FL(View on Map)

Full Name

Christian Olof Bengtson MD

NPI Number

1215326921

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/19/2015

Specialties

(Taxonomies)

Code

207Q00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Pennsylvania
Pennsylvania

License Number

ME150830
MT210797
MD465416

Contact
Information

Purpose

Mailing
Location

Address

5000 COX RD
6801 4TH ST N

City

Glen Allen
St Petersburg

State

VA
FL

Postal Code

23060-9263
33702-6844

Country

US
US

Telephone Number

(804) 968-5700
(727) 822-3238

Health Information Exchange

Endpoint Type

DIRECT

Endpoint

christian.bengtson@direct.mybaycare.org

Endpoint Description

Unknown

Use

Health Information Exchange (HIE)

Content Type

CSV

Affiliation

Y

Endpoint Location

BayCare Medical Group, Inc.2995 Drew St Fl 2Clearwater, FL337593012US

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2022

Provider Address

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