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Individual

JEAN FRITZNER BALAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
305 W CENTRAL AVE, LAKE WALES, FL 33853-4015
(866) 234-8534
Mailing address
47 5TH ST NW, WINTER HAVEN, FL 33881-4672

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
018801
PR
208D00000X
General Practice Physician
Primary
ACN862
FL

Other

Enumeration date
10/16/2015
Last updated
08/10/2021
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