Individual provider · NPI-1

Victor A Balta, M.D.

Psychiatry & Neurology, Psychiatry · Fort Pierce, FL

NPI number1851350029
StatusActive
Last updated in NPPESMar 8, 2012

Details

NPI
1851350029
Entity type
Individual (NPI-1)
Name
Victor A Balta
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 17, 2006
Last updated
Mar 8, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, PsychiatryME 83027FLYes
207R00000X Internal Medicineme83027FL

Practice location

4000 N Highway A1a Ph 2
Fort Pierce, FL 34949-8530

Phone 772-359-9529

Mailing address

4000 N Highway A1a Ph 2
Fort Pierce, FL 34949-8530

Phone 772-359-9529

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