GDA BLALANCE MEDICAL LLC NPI 1720852007

NPI Information

NPI: 1720852007
Provider Name: GDA BLALANCE MEDICAL LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
4349 18TH PL SW
NAPLES, FL
ZIP 34116
Phone: (239) 692-2630
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GDA BLALANCE MEDICAL LLC is a family nurse practitioner in Naples, FL. GDA BLALANCE MEDICAL LLC NPI is 1720852007. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4349 18TH PL SW
NAPLES, FL
ZIP 34116-917
Phone: (239) 692-2630

The provider's authorized official is Leonardo Mastache .
The authorized official title is President and has the following contact phone number (239) 692-2630.

The enumeration date for this NPI number is 11/8/2023 and was last updated on 11/8/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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