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NPI Code Detail

MEDICARE: MRS. NERY DENISSE BALCACER-ESTEVEZ MD

MEDICARE:  MRS. NERY DENISSE BALCACER-ESTEVEZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RI0200XInfectious Disease PhysicianME1063153FL

General Provider Information

NPI Number : 1477735868
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NERY DENISSE BALCACER-ESTEVEZ MD
Provider Business Mailing Address
First Line : 1700 66TH ST. N.
Second Line : STE #510
City : ST. PETERSBURG
State : FL
Zip : 33710
Country : US
Telephone Number : 727-384-2479
Fax Number : 727-384-3573
Provider Business Practice Location Address
First Line : 8207 113TH STREET NORTH
Second Line :
City : SEMINOLE
State : FL
Zip : 33772
Country : US
Telephone Number : 727-397-3991
Fax Number : 727-391-4746
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2007
Last Update Date : 11/05/2020

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Directions to “ MRS. NERY DENISSE BALCACER-ESTEVEZ MD” Practice Location

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