Individual
DR. TIMOTHY JAMES BALLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
119 OAKFIELD DR, BRANDON, FL 33511-5779
(813) 571-5150
Mailing address
3025 MARBLE CREST DR, LAND O LAKES, FL 34638-6081
(813) 949-5209
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
00022749
AL
207P00000X
Emergency Medicine Physician
ME95813
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275628500
—
FL
01
—
U8519V
MEDICARE
FL
01
—
U8519X
MEDICARE
FL
Enumeration date
04/20/2006
Last updated
05/05/2008
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