Healthcare Provider Details
I. General information
NPI: 1104853464
Provider Name (Legal Business Name): LYNDA JEAN BALINT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/26/2006
Last Update Date: 09/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
235 E PRINCETON ST SUITE 200
ORLANDO FL
32804-5553
US
IV. Provider business mailing address
235 E PRINCETON ST SUITE 200
ORLANDO FL
32804-5553
US
V. Phone/Fax
- Phone: 407-303-1444
- Fax:
- Phone: 407-303-1444
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | ME95497 |
| License Number State | FL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: