| NPI | 1093901282 |
|---|---|
| NPI Type | NPI-2 Organization |
| Status | Active |
| Enumeration Date | 2007-09-20 |
| Last Updated | 2008-05-09 |
| Authorized Official | David Ballestas Owner/President Phone: 9416297593 |
| Mailing Address | 2525 Harbor Blvd, Suite 102 Port Charlotte, FL 33952-5317 United States Phone: (941) 629-7593 | Fax: (941) 625-2751 📍 View Map |
| Primary Practice Address | 2525 Harbor Blvd, Suite 102 Port Charlotte, FL 33952-5317 United States Phone: (941) 629-7593 | Fax: (941) 625-2751 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| Other (non-Medicare) | FL | 40389 | Medicare Group Number |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 174400000X – Specialist | FL | H87694 |
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About NPI 1093901282
David S Ballestas Md Pa is an organization registered in the CMS NPPES NPI Registry with NPI number 1093901282. The primary specialty listed is Specialist. The organization is located in Port Charlotte, FL. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-09-20. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093901282?
NPI 1093901282 belongs to David S Ballestas Md Pa, a Specialist in Port Charlotte, FL. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093901282 active?
The current status of NPI 1093901282 in the NPPES registry is Active. The record was last updated on 2008-05-09.
What specialty is NPI 1093901282?
NPI 1093901282 is classified under the taxonomy Specialist. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093901282?
You can verify NPI 1093901282 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093901282?
The primary practice address on file for NPI 1093901282 is 2525 Harbor Blvd, Port Charlotte, FL 33952-5317. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093901282 issued?
NPI 1093901282 was first issued (enumerated) on 2007-09-20. The NPPES record was last updated on 2008-05-09.
Practice Location Map
David S Ballestas Md Pa is located at 2525 Harbor Blvd, Port Charlotte, FL. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as David S Ballestas Md Pa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093901282. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Specialist | H87694 | FL |