Laith Adli Al Balbissi, MD
in Orlando, FL. Individual provider (NPI-1).
NPI number1083878300
StatusActive
Last updated in NPPESAug 13, 2020
Details
- NPI
- 1083878300
- Entity type
- Individual (NPI-1)
- Name
- Laith Adli Al Balbissi
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 16, 2008
- Certification date
- Aug 13, 2020
- Last updated
- Aug 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0129X | ME145283 | FL | Yes | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | |
| 208600000X | Surgery | Q5612 | TX |
Practice location
7236 Stonerock CirOrlando, FL 32819-8000
Phone 321-841-6444 · Fax 407-370-5820
Mailing address
7236 Stonerock CirOrlando, FL 32819-8000
Phone 321-841-6444 · Fax 407-370-5820
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