Baltazar H Orallo MD

NPI 1013989524 - Family Medicine - 207Q00000X

NPI Details
NPI 1013989524
Gender Male
Enumeration Date 02/07/2006
Last Updated 11/18/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
2386 DUNN AVE STE 109
CREDENTIALING DEPARTMENT
JACKSONVILLE FL, 32218-4602, US
Phone (904) 696-6900
Fax (904) 696-1981
Business Location
PO BOX 44004
JACKSONVILLE FL, 32231-4004, US
Phone (904) 202-1032
Fax (904) 391-5807
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME51433
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According to our database, Baltazar H Orallo MD NPI is 1013989524, taxonomy code is 207Q00000X and license number is ME51433, license state is located at Florida. Baltazar H Orallo MD physically located at 2386 Dunn Ave Ste 109, Jacksonville FL, 32218-4602. NPI Number Baltazar H Orallo MD has the Individual type.

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1013989524 NPI number is provided on an as is basis without warranty of any kind. 1013989524 is maintained by the National Plan & Provider Enumeration System. The contents of Baltazar H Orallo MD are for informational purposes only.