Watanabe Ballarta, Dora Eiko Mitsue

Watanabe Ballarta, Dora Eiko Mitsue is an individual health care provider with primary practice located at 509 Cagan View Rd , Clermont FL 34714-6405. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Watanabe Ballarta, Dora Eiko Mitsue can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
509 Cagan View Rd Clermont FL 34714-6405
Phone: (407) 905-8827
Fax: (407) 905-8998
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 31682-R
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME147690 Florida

Profile Details

NPI number 1659753945
LBN Legal business name Watanabe Ballarta, Dora Eiko Mitsue
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2015
Last updated Dec 15th, 2020 - about 6 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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