Individual
NICHOLAS BALTERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(631) 848-3847
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6000
(305) 585-6858
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS22240
FL
Other
Enumeration date
03/23/2021
Last updated
12/12/2025
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