Balta, Victor A
Balta, Victor A is an sole proprietor health care provider with primary practice located at 4000 N Highway A1A Ph 2 , Fort Pierce FL 34949-8530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Balta, Victor A can be contacted via phone (772) 359-9529.Contact Information
Primary practice address
4000 N Highway A1A Ph 2
Fort Pierce FL 34949-8530
Phone: (772) 359-9529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | ME 83027 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME83027 | Florida |
Profile Details
| NPI number | 1851350029 |
|---|---|
| LBN Legal business name | Balta, Victor A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Mar 8th, 2012 - about 12 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 | 1851350029 | NPPES |
| Florida | MEDICAID | 265998100 | |
| Florida | Other | 62795 |
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