Individual
DR. JULIO BALLESTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
200 S PARK RD STE 140, HOLLYWOOD, FL 33021-8351
(631) 260-7360
Mailing address
200 S PARK RD STE 140, HOLLYWOOD, FL 33021-8351
(631) 260-7360
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
0101283790
VA
2084P0800X
Psychiatry Physician
274923
NY
2084P0800X
Psychiatry Physician
Primary
ME142436
FL
Other
Enumeration date
01/28/2010
Last updated
12/02/2024
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