Individual
DR. DAVID ADRIAN BALLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
400 HEALTH PARK BLVD, ST AUGUSTINE, FL 32086-5784
(904) 819-5155
Mailing address
PO BOX 100183, GAINESVILLE, FL 32610-0183
(352) 392-0104
(352) 392-8217
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
17707
FL
Other
Enumeration date
05/15/2018
Last updated
05/06/2025
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