Individual
GENE ALAN BALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2 TAMPA GENERAL CIR, STC 3RD FLOOR, TAMPA, FL 33606-3603
(813) 259-0904
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0028912
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038905600
—
FL
01
—
29952
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/24/2006
Last updated
03/18/2021
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