Individual
RAPHAEL TITO BALBINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9283 SAN JOSE BLVD STE 201, JACKSONVILLE, FL 32257-5584
(904) 268-5826
(904) 268-5873
Mailing address
9283 SAN JOSE BLVD STE 201, JACKSONVILLE, FL 32257-5584
(904) 268-5826
(904) 268-5873
Taxonomy
Speciality
Code
Description
License number
State
202D00000X
Integrative Medicine Physician
Primary
ME123543
FL
207Q00000X
Family Medicine Physician
ME123543
FL
207QG0300X
Geriatric Medicine (Family Medicine) Physician
ME123543
FL
Other
Enumeration date
04/26/2011
Last updated
12/23/2025
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