Orallo, Baltazar H

Orallo, Baltazar H is an individual health care provider with primary practice located at 11236 Baptist Health Dr Ste 220 , Jacksonville FL 32218-2988. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Orallo, Baltazar H can be contacted via phone (904) 696-6900.

Contact Information

Primary practice address
11236 Baptist Health Dr Ste 220 Jacksonville FL 32218-2988
Phone: (904) 696-6900
Fax: (904) 765-7149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME51433 Florida

Profile Details

NPI number 1013989524
LBN Legal business name Orallo, Baltazar H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Dec 28th, 2018 - about 8 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 1013989524 NPPES
Florida MEDICAID 010572200
Florida Other 080178334

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