Individual
DR. CHRISTOPHER J BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11200 SEMINOLE BLVD STE 205, LARGO, FL 33778-3240
(813) 321-1786
(813) 321-1787
Mailing address
4651 VAN DYKE RD, LUTZ, FL 33558-4880
(813) 321-1786
(813) 321-1786
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME109317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003995300
—
FL
01
—
1086695
CAREPLUS
FL
01
—
14FN0
BCBS OF FLORIDA
FL
01
—
349086
AVMED
FL
01
—
7724400
CIGNA
FL
01
—
9836728
AETNA
FL
01
—
P00977190
RAILROAD MEDICARE
FL
Enumeration date
08/26/2008
Last updated
01/15/2019
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