WILBUR BALA (NPI# 1245660406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245660406 |
| Entity Type | Individual |
| Full Name | WILBUR BALA |
| Credential | M.D. |
| Practice Address |
Lawtey Correctional Institution 7819 Nw 228 St. Raiford FL 32026-0001 |
| Mailing Address |
Lawtey Correctional Institution 7819 Nw 228 St. Raiford FL 32026 |
| Practice Telephone | 9047822318 |
| Practice Fax Number | 9047822011 |
| Mailing Telephone | 9047822318 |
| Mailing Fax Number | 9047822011 |
| Enumeration Date | 2013-11-25 |
| Last Update Date | 2013-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | ME27246 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
LAWTEY CORRECTIONAL INSTITUTION 7819 NW 228 ST. |
| City | RAIFORD |
| State | FL |
| Zip Code | 32026-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508099946 | Chuong Thanh Le | General Practice | 7819 Nw 228th Street, Raiford, FL 32026 | 2009-09-02 |
| 1376925651 | Calinica Caudilla | Nurse Practitioner | Union Correctional Institution, 7819 Nw 228th Street, Raiford, FL 32026-0001 | 2015-06-23 |
| 1215130158 | Carmelita E Garcia | Psychiatry & Neurology | 7819n W 228th St, Raiford, FL 32026-0001 | 2007-06-07 |
| 1083828438 | Phil K Springer | Psychologist | Florida State Prison, 7819 Nw 228th Street, Raiford, FL 32026-0001 | 2007-05-09 |
| 1972731594 | Cecilia Cruz Trivino | Psychiatry & Neurology | 7819 Nw 228th St, Raiford, FL 32026-1050 | 2009-06-23 |
| 1952525040 | Consuelo Seachon Lim | Psychiatry & Neurology | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2007-04-12 |
| 1144641259 | Julian Manuel Aviles | General Practice | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2013-12-17 |
| 1134555006 | Erika Biskie | Psychologist | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2013-09-23 |
| 1881026094 | Catrina Michelle Edwards | Licensed Practical Nurse | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2013-07-30 |
| 1952624355 | Muhammad I Akhtar | Family Medicine | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2010-03-12 |
| Find all providers in zip 32026 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508099946 | Chuong Thanh Le | General Practice | 7819 Nw 228th Street, Raiford, FL 32026 | 2009-09-02 |
| 1144641259 | Julian Manuel Aviles | General Practice | 7819 Nw 228th St, Raiford, FL 32026-2601 | 2013-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265033823 | Bless Medical Center of Nmb LLC | General Practice | 1400 Ne Miami Gardens Dr Ste 209, North Miami Beach, FL 33179-4844 | 2020-11-02 |
| 1982203634 | Central Florida Wellness LLC | General Practice | 15516 W Colonial Dr Ste 111, Winter Garden, FL 34787-9558 | 2020-10-23 |
| 1760080212 | Summit Health Multi Specialty of Florida LLC | General Practice | 1881 W Kennedy Blvd Ste D, Tampa, FL 33606-1611 | 2020-10-15 |
| 1376140772 | Amy Wrenn | General Practice | 155 Cranes Roost Blvd Ste 2020-a, Altamonte Springs, FL 32701-3468 | 2020-10-08 |
| 1992302574 | Avita Medical Clinic, LLC | General Practice | 14831 N Florida Ave, Tampa, FL 33613-1825 | 2020-10-06 |
| 1568069672 | Ernesto Oscar Gonzalez Pupo | General Practice | 14420 Sw 22nd St, Miami, FL 33175-6338 | 2020-10-02 |
| 1508463779 | Ashley Zanders Walton | General Practice | 75 Foxfire Ct, Quincy, FL 32351-7293 | 2020-10-01 |
| 1730796830 | Brid M Wade | General Practice | 3199 Cornell Dr, Gulf Breeze, FL 32563-2785 | 2020-09-23 |
| 1902412786 | New Era Medical Pllc | General Practice | 628 Cleveland St Ste A, Clearwater, FL 33755-6603 | 2020-09-17 |
| 1417562414 | Jl Laria Aprn Pa | General Practice | 5751a Sw 40th St, Miami, FL 33155-5301 | 2020-09-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WILBUR BALA.
| 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.