Individual
EDUARDO BALSERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 MAIN ST, MS-417, DUNEDIN, FL 34698-5848
(727) 734-6635
Mailing address
PO BOX 552154, TAMPA, FL 33655-0001
(727) 734-6635
Taxonomy
Speciality
Code
Description
License number
State
173000000X
Legal Medicine
Primary
ME45680
FL
Other
Enumeration date
12/13/2006
Last updated
07/09/2007
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