Individual
CATHERINE BALESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12600 PEMBROKE RD STE 312, MIRAMAR, FL 33027-2544
(954) 431-7681
(954) 431-7682
Mailing address
151 SOUTHHALL LN STE 300, MAITLAND, FL 32751-7172
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME97715
FL
207ND0101X
MOHS-Micrographic Surgery Physician
ME97715
FL
Other
Enumeration date
05/23/2007
Last updated
07/21/2022
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