Organization
CRISTINA BALSERA M.D. P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRISTIAN BALSERA M.D. (OWNER)
(813) 571-3777
Entity
Organization
Contact information
Practice address
510 VONDERBURG DR, SUITE 208, BRANDON, FL 33511-5980
(813) 571-3777
(813) 571-3737
Mailing address
510 VONDERBURG DR, SUITE 208, BRANDON, FL 33511-5980
(813) 571-3777
(813) 571-3737
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
ME78809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259600800
—
FL
Enumeration date
05/05/2008
Last updated
05/05/2008
Update your record
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