Individual
JONATHAN BALAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, EMERGENCY MEDICINE DEPARTMENT, MIAMI, FL 33136-1005
(305) 585-1111
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A157935
CA
207P00000X
Emergency Medicine Physician
ME136185
FL
Other
Enumeration date
04/04/2016
Last updated
07/03/2019
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