Jacob Tyler Balken
NPI #1679272298 in Miami Shores, Florida
Provider Information
- NPI Number
- 1679272298
- Entity Type
- Individual
- Name
- Jacob Tyler Balken
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Enumeration Date
- Mar 2, 2023
- Last Updated
- Aug 15, 2025
Practice Location
- Address
- 11300 NE 2ND AVE
- City
- Miami Shores
- State
- Florida
- ZIP Code
- 33161-6628
- Phone
- (305) 899-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
| Student in an Organized Health Care Education/Training Program |
| Nurse Anesthetist, Certified Registered |
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