Individual
MISS ANGELA MICHELLE BALFOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
3001 N ROCKY POINT DR E, TAMPA, FL 33607-5810
(813) 289-9613
(484) 253-1790
Mailing address
2276 LAUREN LN, CLEARWATER, FL 33759-1437
(513) 716-7751
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-9104872
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000382162
ANTHERM
OH
Enumeration date
11/16/2005
Last updated
01/29/2015
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