JUSTIN B BALLARD

WELLINGTON, FL
NPI1013283324
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9106475)
Enumeration Date2012-03-30
Last Update Date2017-12-12
Business Address
JUSTIN B BALLARD PA-C
3347 S STATE ROAD 7 STE 101
WELLINGTON, FL 33449-8148
Phone number: 561-790-2111
Mailing Address
JUSTIN B BALLARD PA-C
2160 COLONIAL BLVD
FORT MYERS, FL 33907-1410
Phone number: 239-931-7342
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