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Organization

PETER G BALLAS II MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PETER G BALLAS II MD PA (PRESIDENT)
(561) 989-9002
Entity
Organization

Contact information

Practice address
1905 CLINT MOORE RD, SUITE 215, BOCA RATON, FL 33496-2658
(561) 989-9002
(561) 994-9135
Mailing address
1905 CLINT MOORE RD, SUITE 215, BOCA RATON, FL 33496-2658
(561) 989-9002
(561) 994-9135

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0046838
FL

Other

Enumeration date
07/16/2007
Last updated
06/30/2010
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