Organization
RAUL S BALAGTAS MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAUL S BALAGTAS MD (OWNER)
(813) 964-3050
Entity
Organization
Contact information
Practice address
10330 N DALE MABRY HWY STE 201, TAMPA, FL 33618-4404
(813) 961-6633
(813) 961-7733
Mailing address
PO BOX 130009, TAMPA, FL 33681-0009
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0059469
FL
Other
Enumeration date
11/03/2010
Last updated
05/10/2012
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