Bernard H. Ballou Md Pa

NPI 1093963050 - Internal Medicine - 207R00000X

NPI Details
NPI 1093963050
Enumeration Date 09/03/2008
Last Updated 09/05/2011
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BERNARD H. BERNARD
Position PHYSICIAN
Phone (352) 336-3050
Fax
Practice Location
3720 NW 83RD ST
GAINESVILLE FL, 32606-5603, US
Phone (352) 336-3050
Fax
Business Location
PO BOX 358720
GAINESVILLE FL, 32635-8720, US
Phone (352) 331-6410
Fax
Toxanomy
Taxonomy Code 207R00000X
License State Florida
License Number ME0049070
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According to our database, Bernard H. Ballou Md Pa NPI is 1093963050, taxonomy code is 207R00000X and license number is ME0049070, license state is located at Florida. Bernard H. Ballou Md Pa physically located at 3720 Nw 83rd St, Gainesville FL, 32606-5603. NPI Number 1033115704 has the healthcare provider type.

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1093963050 NPI number is provided on an as is basis without warranty of any kind. 1093963050 is maintained by the National Plan & Provider Enumeration System. The contents of Bernard H. Ballou Md Pa are for informational purposes only.