Dr. David A. Ballack DO
Psychiatry Physician in Palm Coast, FL(View on Map)
Full Name
Dr. David Adrian Ballack DO
NPI Number
1386134419
NPI Type
Individual Provider
Gender
Male
Enumeration Date
05/15/2018
Specialties
(Taxonomies)Code
2084P0800X
390200000X
Primary Taxonomy
Yes
No
Licenses
State
Florida
License Number
17707
Contact
Information
Purpose
Mailing
Location
Address
1811 WILD DUNES CIR
315 PALM COAST PKWY NE
City
Orange Park
Palm Coast
State
FL
FL
Postal Code
32065-2628
32137-3888
Country
US
US
Telephone Number
(904) 662-3480
(386) 317-8930
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 09/22/2023
Provider Address
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