# CRISTINA BALSERA M.D. P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831365493
- **Authorized official:** DR. CRISTIAN BALSERA M.D. (OWNER)
- **Authorized official phone:** (813) 571-3777

## Contact information

- **Practice address:** 510 VONDERBURG DR, SUITE 208, BRANDON, FL 33511-5980
- **Practice address phone:** (813) 571-3777
- **Practice address fax:** (813) 571-3737
- **Mailing address:** 510 VONDERBURG DR, SUITE 208, BRANDON, FL 33511-5980
- **Mailing address phone:** (813) 571-3777
- **Mailing address fax:** (813) 571-3737

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302F00000X | Exclusive Provider Organization | ME78809 | FL | Yes |

## Other

- **Enumeration date:** 05/05/2008
- **Last updated:** 05/05/2008