Individual
MRS. ISABEL BALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-C
Contact information
Practice address
3001 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6307
(813) 870-4421
(813) 870-4390
Mailing address
3003 W DR MARTIN LUTHER KING JR BLVD FL 4, TAMPA, FL 33607-6307
(813) 870-4421
(813) 870-4390
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209007905
IL
363L00000X
Nurse Practitioner
Primary
APRN9360051
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009174600
—
FL
01
—
APRN9360051
FLORIDA LICENSE
FL
01
—
P01283840
RAILROAD MEDICARE
FL
01
—
Y0HJ3
BCBS
FL
Enumeration date
11/24/2009
Last updated
03/07/2023
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