BERNARD H. BALLOU MD PA
Osteopathic Medicine at 83 St, Gainesville, FL

License number
Florida ME0049070
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: BERNARD H. BALLOU MD
Title: PHYSICIAN
Phone: (352) 331-6410
Address
Address
3720 NW 83Rd St, Gainesville, FL 32606
National Provider ID: 1093963050
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Bernard H. Ballou, M.D., PA

Gainesville, FL

Registration:
Apr 28, 1992
Addresses:
PO Box 358720, Gainesville, FL 32635
9715 SW 1 Pl, Gainesville, FL 32607
State ID:
V33015
Business type:
Domestic for Profit Corporation
President, Treasurer, Secretary, Vice President:
Bernard H. Ballou (President, Treasurer, Secretary, Vice President)

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