SHANE BALA

CLEARWATER, FL
NPI1831878131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AS0400X Physician Assistant Surgical
(Licence:   215126)
Enumeration Date2023-07-13
Last Update Date2023-07-13
Business Address
SHANE BALA CST/CSFA
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761-2102
Phone number: 727-313-4764
Mailing Address
SHANE BALA CST/CSFA
29253 US HIGHWAY 19 N
CLEARWATER, FL 33761-2102
Phone number: 727-313-4764
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