Individual
FATIMA SHAKOOR BALOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
725 N US HIGHWAY 1, FORT PIERCE, FL 34950-9125
(772) 468-9900
(772) 468-2364
Mailing address
827 18TH ST, VERO BEACH, FL 32960-6481
(772) 925-8190
(772) 925-8199
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-14423
NC
363A00000X
Physician Assistant
Primary
PA9119047
FL
Other
Enumeration date
09/16/2024
Last updated
01/15/2025
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