Individual
JASON WILLARD BALLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2415 N ORANGE AVE STE 601, ORLANDO, FL 32804-5558
(407) 303-2070
(407) 303-2071
Mailing address
2415 N ORANGE AVE STE 601, ORLANDO, FL 32804-5558
(407) 303-2070
(407) 303-2071
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 9106156
FL
Other
Enumeration date
11/08/2011
Last updated
11/10/2016
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