Individual
RYAN JEFFREY BALBACAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-0111
Mailing address
8283 NW 54TH TER, GAINESVILLE, FL 32653-6145
(352) 283-3518
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN11005458
FL
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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