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Organization
ANAISYS M. BALLESTEROS, D.O., P.A.
Active
Organization
ANAISYS M. BALLESTEROS, D.O., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAISYS MARIA BALLESTEROS D.O. (PRESIDENT)
(305) 275-6202
Entity
Organization
Contact information
Practice address
9290 SW 72ND ST, SUITE 105, MIAMI, FL 33173-3236
(305) 275-6202
(305) 275-6203
Mailing address
9290 SW 72ND ST, SUITE 105, MIAMI, FL 33173-3236
(305) 275-6202
(305) 275-6203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS8354
FL
Other
Enumeration date
09/17/2006
Last updated
08/22/2020
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