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1053611384
RAUL S BALAGTAS MD PA
TAMPA, FL
NPI
1053611384
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Entity Type
Organization
Authorized Contact
RAUL S BALAGTAS
Owner
813-964-3050
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: FL ME0059469)
Enumeration Date
2010-11-03
Last Update Date
2012-05-10
Business Address
RAUL S BALAGTAS MD PA
10330 N DALE MABRY HWY STE 201
TAMPA, FL 33618-4404
Phone number: 813-961-6633
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Mailing Address
RAUL S BALAGTAS MD PA
PO BOX 130009
TAMPA, FL 33681-0009
Phone number:
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