Individual
TZONKA B. BAKALOVA HRISTOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
421 SE OSCEOLA ST, STE 3, STUART, FL 34994-2505
(772) 286-0338
Mailing address
PO BOX 868, STUART, FL 34995-0868
(772) 286-0338
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME 81363
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260491400
—
FL
01
—
29032
BCBS OF FLORIDA
FL
Enumeration date
04/20/2006
Last updated
09/26/2008
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