Individual
DR. BRYAN A BALLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
140 FOUNTAIN PKWY N, SUITE 600, ST PETERSBURG, FL 33716-1285
(727) 575-8006
(727) 575-8094
Mailing address
140 FOUNTAIN PKWY N, SUITE 600, ST PETERSBURG, FL 33716-1285
(727) 575-8006
(727) 575-8094
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R3K74
MO
Other
Enumeration date
03/08/2006
Last updated
11/26/2012
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