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NPI Code Detail

MEDICARE: MARK DOUGLAS HELM M.D.

MEDICARE: MARK DOUGLAS HELM M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianME44208FL

General Provider Information

NPI Number : 1679568638
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK DOUGLAS HELM M.D.
Provider Business Mailing Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-1222
Fax Number : 863-603-6546
Provider Business Practice Location Address
First Line : 1324 LAKELAND HILLS BLVD
Second Line :
City : LAKELAND
State : FL
Zip : 33805-4543
Country : US
Telephone Number : 863-687-1222
Fax Number : 863-603-6546
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2005
Last Update Date : 07/08/2007

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