Orallo, Baltazar H
Orallo, Baltazar H is an individual health care provider with primary practice located at 11236 Baptist Health Dr Ste 220 , Jacksonville FL 32218-2988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Orallo, Baltazar H can be contacted via phone (904) 696-6900.Contact Information
Primary practice address
11236 Baptist Health Dr Ste 220
Jacksonville FL 32218-2988
Phone: (904) 696-6900
Fax: (904) 765-7149
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME51433 | Florida |
Profile Details
| NPI number | 1013989524 |
|---|---|
| LBN Legal business name | Orallo, Baltazar H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Dec 28th, 2018 - about 6 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 | 1013989524 | NPPES |
| Florida | MEDICAID | 010572200 | |
| Florida | Other | 080178334 |
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