Individual
DR. ROBERT BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
19621 COCHRAN BLVD, UNIT #1, PORT CHARLOTTE, FL 33948-2070
(941) 627-9095
(941) 629-6993
Mailing address
19621 COCHRAN BLVD STE 3, PORT CHARLOTTE, FL 33948-2070
(941) 627-9095
(941) 629-6993
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
250413-1
NY
207LP2900X
Pain Medicine (Anesthesiology) Physician
25MB08733400
NJ
208VP0014X
Interventional Pain Medicine Physician
Primary
OS 11245
FL
Other
Enumeration date
07/13/2008
Last updated
09/22/2021
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