Individual
ANN E BALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8501 SW 124TH AVE, 109, MIAMI, FL 33183
(305) 271-4544
(305) 274-9668
Mailing address
8501 SW 124TH AVE, 109, MIAMI, FL 33183-4627
(305) 271-4544
(305) 274-9668
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME0047233
FL
207W00000X
Ophthalmology Physician
Primary
ME47233
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043855300
—
FL
Enumeration date
07/19/2005
Last updated
08/09/2018
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