Individual
DR. JEFFREY WAYNE BALTZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
732 N 3RD ST, LEESBURG, FL 34748-4442
(352) 365-4575
(352) 273-8172
Mailing address
PO BOX 100275, GAINESVILLE, FL 32610-0275
(352) 273-7839
(352) 273-8172
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
188249-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD028023E
PA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME124617
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017380000001
—
PA
05
—
015363200
—
FL
05
—
01927128
—
NY
01
—
220029208
RR MEDICARE PIN
PA
01
—
CC9269
RR MEDICARE GROUP
PA
01
—
GU039827
MEDICARE GROUP
PA
Enumeration date
02/07/2006
Last updated
02/23/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us