Individual
SERGIO BALCAZAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5062 SW 139 TERR, MIRAMAR, FL 33027
(954) 494-0391
Mailing address
5062 SW 139 TERR, MIRAMAR, FL 33027
(954) 494-0391
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME63475
FL
208D00000X
General Practice Physician
ME63475
FL
Other
Enumeration date
05/23/2006
Last updated
11/14/2023
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