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Organization

BALANCED PHYSICIAN CARE PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHARYL J TRUTY M.D. (PROVIDER/PRESIDENT)
(904) 930-4774
Entity
Organization

Contact information

Practice address
115 PROFESSIONAL PARK DRIVE, SUITE 104, PONTE VEDRA BEACH, FL 32082
(904) 930-4774
Mailing address
115 PROFESSIONAL PARK DRIVE, SUITE 104, PONTE VEDRA BEACH, FL 32082
(904) 930-4774

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
01/06/2016
Last updated
01/06/2016
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