NPI 1164679668 · live from the CMS NPI Registry
Christopher J Ballard, MD
Dermatology in Largo, FL. National Provider Identifier 1164679668, active.
NPI record
| NPI | 1164679668 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 11200 Seminole Blvd Ste 205, Largo, FL 33778 |
| Practice phone | 813-321-1786 |
| Mailing address | 4651 Van Dyke Rd, Lutz, FL 33558 |
| Enumerated | August 26, 2008 |
| Last updated | January 15, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology primary | 207N00000X | ME109317 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.