Individual
DR. STEPHEN ANTHONY BALLISTREA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C., B.S.
Contact information
Practice address
7236 STATE ROAD 52, SUITE 3, BAYONET POINT, FL 34667-6789
(727) 868-4444
(727) 868-2892
Mailing address
7236 STATE ROAD 52 STE 3, BAYONET POINT, FL 34667-6749
(727) 868-4444
(727) 868-2892
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CH 8075
FL
Other
Enumeration date
04/14/2008
Last updated
02/08/2011
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