Individual
CHRISTOPHER E. BALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2120 SW 22ND PL, OCALA, FL 34471-7765
(352) 732-5042
(352) 732-6031
Mailing address
2120 SW 22ND PL, OCALA, FL 34471-7765
(352) 732-5042
(352) 732-6031
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME0030504
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
040000058
RAILROAD MEDICARE NUMBER
FL
05
—
065842100
—
FL
01
—
101057
AVMED PROVIDER NUMBER
FL
01
—
198188
HEALTHEASE-WELLCARE
FL
01
—
42150
BLUE CROSS PROVIDER #
FL
01
—
4544150
AETNA PROVIDER NUMBER
FL
Enumeration date
10/04/2005
Last updated
05/27/2008
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