Individual
MRS. ROSARIO BALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
37944 CHURCH AVE, DADE CITY, FL 33525
(352) 518-2000
(352) 567-0218
Mailing address
PO BOX 232, DADE CITY, FL 33526
(352) 518-2000
(352) 567-5193
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME036542
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
065717400
—
FL
Enumeration date
04/05/2006
Last updated
05/13/2008
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