Individual
KIRIT BHALANI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325 CLYDE MORRIS BLVD, SUITE 400, ORMOND BEACH, FL 32174
(386) 671-0600
(386) 677-9710
Mailing address
325 CLYDE MORRIS BLVD, SUITE 400, ORMOND BEACH, FL 32174-8178
(386) 671-0600
(386) 677-9710
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
ME69468
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015306200
—
FL
01
—
1740385350
MEDICARE DME ORMAND BEACH
FL
01
—
1811363732
MEDICARE DME WESLEY CHAPEL LOCATION
FL
05
—
250637800
—
FL
01
—
28294
BCBS
FL
01
—
P00447032
RR MEDICARE
FL
Enumeration date
07/14/2006
Last updated
06/29/2018
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