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1619024007
BALSAM FANOUS
TAMPA, FL
NPI
1619024007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL ME41656)
Enumeration Date
2007-01-05
Last Update Date
2007-07-09
Business Address
Dr. BALSAM FANOUS M.D.
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612-9209
Phone number: 813-977-8700
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Mailing Address
Dr. BALSAM FANOUS M.D.
12512 BRUCE B DOWNS BLVD
TAMPA, FL 33612-9209
Phone number: 813-977-8700
Copy
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