HILBERT ZEBALLOS PA
Osteopathic Medicine at Balmoral Way, Melbourne, FL

License number
Florida ME90229
Category
Osteopathic Medicine
Type
Internal Medicine
Owner
Name: DR. HILBERT CICERON ZEBALLOS M.D.
Title: OWNER
Phone: (321) 208-1883
Address
Address
903 Balmoral Way, Melbourne, FL 32940
National Provider ID: 1629413125
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HILBERT ZEBALLOS, PA

903 Balmoral Way, Melbourne, FL 32940

Registration:
Jul 11, 2012
State ID:
P12000061011
Business type:
Florida Profit Corporation
President:
Hilbert C Zeballos (President), 903 Balmoral Way, Melbourne, FL 32940 (Physical)
Agent:
Elaine Dinho,4875 N Wickham Rd, Melbourne, FL 32940 (Physical)
EIN:
APPLIED FOR

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