Individual
DR. JUAN R BARALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 SOUTH MARION, LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
#1329 NW 101ST DRIVE, GAINESVILLE, FL 32606-8036
(352) 332-5740
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD013556
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD013556
PATHOLOGY
LA
Enumeration date
09/05/2006
Last updated
07/08/2007
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