Individual
DR. EDUARDO BALLESTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13000 BRUCE B DOWNS BLVD, TAMPA, FL 33612-4745
(813) 972-2000
Mailing address
3036 OSPREY LN, CLEARWATER, FL 33762-3045
(727) 422-4063
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME 117835
FL
390200000X
Student in an Organized Health Care Education/Training Program
TRN10743
FL
Other
Enumeration date
10/28/2008
Last updated
01/28/2026
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