Individual
GERALD J BALSAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 N MAGNOLIA AVE, ADVANCED PSYCHIATRIC GROUP, P.A., ORLANDO, FL 32803-3809
(407) 423-7149
(407) 422-0470
Mailing address
736 N MAGNOLIA AVE, ADVANCED PSYCHIATRIC GROUP, P.A., ORLANDO, FL 32803-3809
(407) 423-7149
(407) 422-0470
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME0023057
FL
2084P0800X
Psychiatry Physician
Primary
ME23057
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038468200
—
FL
Enumeration date
11/21/2006
Last updated
05/01/2009
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