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Wilbur Bala, MD
General Practice Physician in Raiford, Florida
NPI 1245660406

Wilbur Bala is a General Practice Physician based in Raiford, FL. Wilbur Bala practices in Raiford, FL and has the professional credentials of MD. The NPI Number for Wilbur Bala is 1245660406 and holds a License No. ME27246 (Florida).

The current practice location address for Wilbur Bala is Lawtey Correctional Institution, Raiford, FL and can be reached out via phone at 904-782-2318 and via fax at 904-782-2011.

Location: Lawtey Correctional Institution, Raiford, FL, 32026
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245660406
Provider Name
Wilbur Bala
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
Lawtey Correctional Institution, Raiford, FL, 32026
Phone Number
904-782-2318
Fax Number
904-782-2011
Provider Enumeration Date
11/25/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Lawtey Correctional Institution
City
Raiford
State
Florida
Zip
32026-0001
Phone Number
904-782-2318
Fax Number
904-782-2011
person
Provider Business Mailing Address Details
Address
Lawtey Correctional Institution
City
Raiford
State
Florida
Zip
32026-0001
Phone Number
904-782-2318
Fax Number
904-782-2011
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ME27246 (Florida)
Definition
Definition to come...
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