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Eduardo Ballestas, MD
Student in an Organized Health Care Education/Training Program in Miami, Florida
NPI 1861645525

Eduardo Ballestas is a Student in an Organized Health Care Education/Training Program based in Clearwater, FL. Eduardo Ballestas practices in Miami, FL and has the professional credentials of MD. The NPI Number for Eduardo Ballestas is 1861645525 and holds a License No. ME 117835 (Florida).

The current practice location address for Eduardo Ballestas is 1850 Nw 9Th Ave, Miami, FL and can be reached out via phone at 305-585-1280.

Location: 1850 Nw 9Th Ave, Miami, FL, 33762
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861645525
Provider Name
Eduardo Ballestas
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1850 Nw 9Th Ave, Miami, FL, 33762
Phone Number
305-585-1280
Fax Number
Provider Enumeration Date
10/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1850 Nw 9Th Ave
City
Miami
State
Florida
Zip
33136
Phone Number
305-585-1280
Fax Number
person
Provider Business Mailing Address Details
Address
1850 Nw 9Th Ave
City
Miami
State
Florida
Zip
33136
Phone Number
305-585-1280
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
TRN10743 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME 117835 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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