Individual
DR. ADAM J BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
579 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986-1622
(772) 465-2020
(772) 465-2111
Mailing address
579 NW LAKE WHITNEY PL STE 105, PORT ST LUCIE, FL 34986-1622
(772) 465-2020
(772) 465-2111
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME88543
FL
208M00000X
Hospitalist Physician
ME88543
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
FL
Enumeration date
09/23/2005
Last updated
07/21/2022
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