Balta, Victor A

Balta, Victor A is an sole proprietor health care provider with primary practice located at 4000 N Highway A1A Ph 2 , Fort Pierce FL 34949-8530. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Balta, Victor A can be contacted via phone (772) 359-9529.

Contact Information

Primary practice address
4000 N Highway A1A Ph 2 Fort Pierce FL 34949-8530
Phone: (772) 359-9529
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME 83027 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME83027 Florida

Profile Details

NPI number 1851350029
LBN Legal business name Balta, Victor A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Mar 8th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851350029 NPPES
Florida MEDICAID 265998100
Florida Other 62795

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