Individual
ARTURO BALANDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
26800 S TAMIAMI TRL, SUITE 250, BONITA SPRINGS, FL 34134-4349
(239) 434-8565
(239) 434-8569
Mailing address
2234 COLONIAL BLVD, ATTN: MANAGED CARE DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
ME109228
FL
208800000X
Urology Physician
MT188365
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003495400
—
FL
01
—
14CV6
BCBS OF FL
FL
01
—
3298242
UNITED HEALTHCARE
FL
01
—
6677242
CIGNA
FL
01
—
9036668
AETNA
FL
01
—
P00956370
RAILROAD MEDICARE
FL
01
—
P959228
OPTIMUM
FL
01
—
P996671
FREEDOM
FL
Enumeration date
12/29/2006
Last updated
12/11/2014
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