Individual
VASANT J BALAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
224 E BEARSS AVE, TAMPA, FL 33613-1625
(813) 964-0111
(813) 969-2590
Mailing address
14216 BRIARTHORN DR, TAMPA, FL 33625-3251
(813) 960-3219
(813) 969-2590
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0047371
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049107100
—
FL
01
—
2313061
AETNA HMO
PA
01
—
4418850
AETNA PPO
PA
Enumeration date
11/17/2005
Last updated
10/06/2011
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