Organization
BALTO HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS BALTODANO JD (CEO)
(601) 202-1217
Entity
Organization
Contact information
Practice address
14507 STENUM ST, BILOXI, MS 39532-8926
(601) 202-1217
Mailing address
14507 STENUM ST, BILOXI, MS 39532-8926
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1861969305
—
MS
Enumeration date
10/11/2024
Last updated
01/15/2025
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