Ballow, Mark
Ballow, Mark is an individual health care provider with primary practice located at 2 Tampa General Cir Stc 5Th Floor, Tampa FL 33606-3603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is his primary health care specialty. Ballow, Mark can be contacted via phone (727) 767-4150.Contact Information
Primary practice address
2 Tampa General Cir Stc 5Th Floor
Tampa FL 33606-3603
Phone: (727) 767-4150
Fax: (727) 767-8532
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 174470-1 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | 174470 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology | 2080P0201X | ME112011 | Florida |
Profile Details
| NPI number | 1184660821 |
|---|---|
| LBN Legal business name | Ballow, Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 21st, 2006 |
| Last updated | Oct 27th, 2020 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184660821 | NPPES |
| Florida | MEDICAID | 008130000 | |
| Florida | Other | 040426000993 | |
| Florida | Other | 14P6J | |
| Florida | Other | 00010009301 | |
| Florida | Other | 000510824001 | |
| Florida | MEDICAID | 0011295550001 | |
| Florida | Other | 0207420 | |
| Florida | MEDICAID | 01084606 |
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