Bernard H. Ballou Md Pa

LBN: Bernard H. Ballou Md Pa
Bernard H. Ballou Md Pa is an health care organization with primary practice located at 3720 Nw 83Rd St , Gainesville FL 32606-5603. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Bernard H. Ballou Md Pa can be contacted via phone (352) 336-3050, or through Ballou, Bernard H. via phone (352) 331-6410.

Contact Information

Primary practice address
3720 Nw 83Rd St Gainesville FL 32606-5603
Phone: (352) 336-3050
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ballou, Bernard H. Doctor of Medicine (MD)
Phone: (352) 331-6410

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME0049070 Florida

Profile Details

NPI number 1093963050
LBN Legal business name Bernard H. Ballou Md Pa
DBA Doing business as
Authorized official Ballou, Bernard H. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2008
Last updated Sep 5th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1093963050 NPPES
Florida MEDICAID 002730300

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