Individual
DR. PETER DEBALLI III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 S CARPENTER RD, TITUSVILLE, FL 32796-3619
(321) 289-6914
Mailing address
1600 S CARPENTER RD, TITUSVILLE, FL 32796-3619
(321) 289-6914
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME89272
FL
Other
Enumeration date
10/25/2006
Last updated
10/05/2011
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