David S Ballestas MD PA
NPI #1093901282 in Port Charlotte, Florida
Provider Information
- NPI Number
- 1093901282
- Entity Type
- Organization
- Organization Name
- David S Ballestas MD PA
- Primary Specialty
- Specialist
- Enumeration Date
- Sep 20, 2007
- Last Updated
- May 9, 2008
Practice Location
- Address
- 2525 HARBOR BLVD
- Address 2
- SUITE 102
- City
- Port Charlotte
- State
- Florida
- ZIP Code
- 33952-5317
- Phone
- (941) 629-7593
Authorized Official
- Name
- DR. DAVID S. BALLESTAS, M.D.
- Title
- OWNER/PRESIDENT
- Phone
- (941) 629-7593
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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