DAVID S BALLESTAS MD PA
Medical Practice at Harbor Blvd, Port Charlotte, FL

License number
Florida H87694
Category
Medical Practice
Type
Specialist
Owner
Name: DR. DAVID S. BALLESTAS M.D.
Title: OWNER/PRESIDENT
Phone: (941) 629-7593
Address
Address
2525 Harbor Blvd SUITE 102, Port Charlotte, FL 33952
National Provider ID: 1093901282
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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David S. Ballestas M.D., PA

2525 Hbr Blvd, Port Charlotte, FL 33952

Industry:
Medical Doctor's Office
Registration:
Dec 3, 1985
Phone:
(941) 629-7593 (Phone)
State ID:
H87694
Business type:
Domestic for Profit Corporation
Director:
David S. Ballestas (Director)

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