Ball, Marijesmar Gonzalez

Ball, Marijesmar Gonzalez is an individual health care provider with primary practice located at 1 Tampa General Cir , Tampa FL 33606-3571. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as her primary health care specialty. Ball, Marijesmar Gonzalez can be contacted via phone (813) 974-2201.

Contact Information

Primary practice address
1 Tampa General Cir Tampa FL 33606-3571
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME132278 Florida

Profile Details

NPI number 1154649424
LBN Legal business name Ball, Marijesmar Gonzalez
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated Sep 27th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154649424 NPPES
Florida MEDICAID 021451200
Florida Other E7NB3

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