Individual
DANIA BALLICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1839 CENTRAL AVE, ST. PETERSBURG, FL 33713-8900
(727) 322-1054
(727) 821-7213
Mailing address
1839 CENTRAL AVE, ST. PETERSBURG, FL 33713-8900
(727) 322-1054
(727) 821-7213
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME163452
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
ME163452
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122518200
—
FL
Enumeration date
03/23/2020
Last updated
06/26/2024
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