Organization
GENE A BALIS MD AND KENNETH M LOUIS MDNEUROLOGICAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LESLIE BALIS (OFFICE MANAGER)
(813) 977-3776
Entity
Organization
Contact information
Practice address
3000 E FLETCHER AVE, SUITE 340, TAMPA, FL 33613-4656
(813) 977-3776
(813) 977-3777
Mailing address
3000 E FLETCHER AVE, SUITE 340, TAMPA, FL 33613-4656
(813) 977-3776
(813) 977-3777
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
ME0028912
FL
207T00000X
Neurological Surgery Physician
Primary
ME0041511
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38183
BCBS
FL
Enumeration date
03/10/2008
Last updated
01/10/2012
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