EDUARDO BALLESTAS

MIAMI, FL
NPI1861645525
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: FL  ME 117835)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  TRN10743)
Enumeration Date2008-10-28
Last Update Date2013-10-24
Business Address
-- EDUARDO BALLESTAS M.D.
1850 NW 9TH AVE RYDER TRAUMA T242
MIAMI, FL 33136
Phone number: 305-585-1280
Mailing Address
-- EDUARDO BALLESTAS M.D.
3165 SPOONBILL CT.
CLEARWATER, FL 33762
Phone number: 727-422-4063