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Provider Information for 1740361583

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

DEBRA JANETTE BALKMAN MD

Gender: FEMALE

Individual NPI: 1740361583

Calendar   Last Updated:  2021-08-12
  Certification Date:  2021-08-12

Details

Name Value
NPI 1740361583
Enumeration Date 2006-10-18
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 2730 N MCMULLEN BOOTH RD STE 201
CLEARWATER, FL 33761-3302
United States

Phone: 727-725-5224 | Fax: 727-799-2183
View Map External Link
Primary Practice Address 2730 MCMULLEN BOOTH ROAD SUITE 201
CLEARWATER, FL 33761
United States

Phone: 727-725-5224 | Fax: 727-799-2183
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 207Q00000X - Family Medicine FL ME97195