DR. ROBERT BALA (NPI# 1124008156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124008156 |
| Entity Type | Individual |
| Full Name | DR. ROBERT BALA |
| Credential | MD |
| Practice Address |
2815 Lakeland Hills Blvd Lakeland FL 33805 |
| Mailing Address |
1324 Lakeland Hills Blvd. Attn: Managed Care Dept. Lakeland FL 33805 |
| Practice Telephone | 8632845000 |
| Practice Fax Number | 8632846904 |
| Mailing Telephone | 2524433133 |
| Enumeration Date | 2006-01-17 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | ME76603 | FL | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 2015-01511 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1625 N Carpenter Ave, Mid-florida Family Health Center, Bartow, FL 33830 | 8635331448 | 8635332189 |
| 804 English Rd Ste 100, Rocky Mount, NC 278046023 | 2524433133 | 2524436726 |
| Street Address |
2815 LAKELAND HILLS BLVD |
| City | LAKELAND |
| State | FL |
| Zip Code | 33805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386640829 | V.j. Tristram Vailoces | Internal Medicine | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2005-06-21 |
| 1558904961 | Brett Jenkins | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2019-10-18 |
| 1982199139 | Daydre Marlene Lanier | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2018-06-28 |
| 1104332790 | Nerida Consuelo Nieves | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2017-12-19 |
| 1275994683 | Reni Grace Pullukat | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2016-03-11 |
| 1902241482 | Lakeland Regional Health Systems, Inc. | Clinic/Center | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2013-05-09 |
| 1497090377 | Caroline Craft | Nurse Practitioner | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2012-12-04 |
| 1396076006 | Glenn Banez Zaide | Internal Medicine | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2010-01-19 |
| 1619156080 | Vitreous and Retina Consultants Pa | Ophthalmology | 2815 Lakeland Hills Blvd, Suite 200, Lakeland, FL 33805-2224 | 2007-11-01 |
| 1407823768 | Robert George Perry | Physician Assistant | 2815 Lakeland Hills Blvd, Lakeland, FL 33805-2224 | 2006-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477188704 | Ernie Tairon Lugo | Nursing Home Administrator | 5210 State Road N 33, Lot 8, Lakeland, FL 33805 | 2020-03-06 |
| 1912546631 | Francis Esperanzate | Physical Therapist | 5070 Menlo Parke Way, Lakeland, FL 33805 | 2019-12-27 |
| 1689232514 | Anointed Touch | Home Health | 617 S Robson Street, Lakeland, FL 33805 | 2019-06-05 |
| 1083160642 | Cherlande Pierre | Chiropractor | 1507 Lakeland Hills Blvd Ste 109, Lakeland, FL 33805 | 2016-09-01 |
| 1992251706 | Damaris Salmeron | Physical Therapy Assistant | 3127 Us Hwy 98 N, Lakeland, FL 33805 | 2016-08-31 |
| 1831589076 | Sarah Mcneill | Pharmacist | 3124 Lakeland Hills Blvd, Lakeland, FL 33805 | 2015-01-26 |
| 1750706479 | Alison M Busby | Counselor | Achievement Academy Inc, 716 E. Bella Vista St, Lakeland, FL 33805 | 2014-03-04 |
| 1174872907 | William Vargas, M.d. P. A. | Anesthesiology | 202 Parkview Place, Lakeland, FL 33805 | 2012-09-07 |
| 1184998056 | Eduardo Francisco Lopez Garcia | Internal Medicine | 135 E First Street, Lakeland, FL 33805 | 2012-02-24 |
| 1255625513 | Navdeep Singh Jassal | Physical Medicine & Rehabilitation | 1417 Lakeland Hills Blvd Ste 201, Lakeland, FL 33805 | 2011-06-04 |
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| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174121909 | Amanda Millican | Family Medicine | 605 Laura Rd, Lakeland, FL 33815-3220 | 2020-10-14 |
| 1093320848 | Katrena Borders Flowers | Family Medicine | 2629 Highlands Creek Way, Lakeland, FL 33813-6301 | 2020-09-09 |
| 1578177523 | Robinson Family Clinic Inc | Family Medicine | 4406 S Florida Ave Ste 30, Lakeland, FL 33813-2176 | 2020-09-06 |
| 1306467311 | Christopher James Miller | Family Medicine | 215 S Elm Rd, Lakeland, FL 33801-2310 | 2020-04-30 |
| 1811480387 | Victoria Anne Morin | Family Medicine | 1463 Town Center Dr, Lakeland, FL 33803-7966 | 2018-06-10 |
| 1467890665 | Rachael Veronique Ollivierre-agard | Family Medicine | 170 Fitzgerald Rd Ste 1, Lakeland, FL 33813-2633 | 2013-06-10 |
| 1740587211 | Javier Andres Diago Benjumea | Family Medicine | 3015 Lakeland Highlands Rd, Lakeland, FL 33803-4339 | 2011-02-18 |
| 1891099792 | Sergio B Seoane Md Pa | Family Medicine | 118 Allamanda Sr, Lakeland, FL 33803 | 2011-01-06 |
| 1063673812 | Avantica Gondi | Family Medicine | 1818 Harden Blvd Ste 120, Lakeland, FL 33803-1813 | 2008-06-24 |
| 1942460902 | Michael Curtiss | Family Medicine | 2039 E Edgewood Dr, Suite B, Lakeland, FL 33803-3601 | 2008-06-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.