Rodriguez Ballard, Marilyn Margarita

Rodriguez Ballard, Marilyn Margarita is an individual health care provider with primary practice located at 2349 Village Square Pkwy Ste 110-111 , Fleming Island FL 32003-6355. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rodriguez Ballard, Marilyn Margarita can be contacted via phone (904) 385-2023.

Contact Information

Primary practice address
2349 Village Square Pkwy Ste 110-111 Fleming Island FL 32003-6355
Fax: (904) 385-2454
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2849702 Florida

Profile Details

NPI number 1902970007
LBN Legal business name Rodriguez Ballard, Marilyn Margarita
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 20th, 2006
Last updated Jul 24th, 2023 - about last year

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 1902970007 NPPES
Florida MEDICAID 009298200

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