Individual
DR. SAM G BALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL 33541-4325
(813) 788-5569
(813) 788-5569
Mailing address
37840 MEDICAL ARTS CT, ZEPHYRHILLS, FL 33541-4325
(813) 788-5569
(813) 788-5569
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME36543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0624114
AETNA HEALTHCARE
FL
01
—
081262
AVMED
FL
01
—
10751
WELLCARE
FL
01
—
1700023
UNITED HEALTHCARE
—
01
—
203008
AMERIGROUP
FL
01
—
51137
BLUE CROSS BLUE SHIELD FL
FL
Enumeration date
08/16/2005
Last updated
01/31/2008
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