Ballesteros, Anaisys M

Ballesteros, Anaisys M is an sole proprietor health care provider with primary practice located at 975 Baptist Way Ste 202 , Homestead FL 33033-7600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ballesteros, Anaisys M can be contacted via phone (786) 243-8444.

Contact Information

Primary practice address
975 Baptist Way Ste 202 Homestead FL 33033-7600
Fax: (786) 576-0416
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS8354 Florida

Profile Details

NPI number 1174668271
LBN Legal business name Ballesteros, Anaisys M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2007
Last updated Jul 11th, 2022 - 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 1174668271 NPPES
Florida Other 47852 BCBS PROVIDER NO.
Florida MEDICAID 265016900 BCBS PROVIDER NO.

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