MEDICARE: JOSEPH A BALZANO M.D.

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	ME94261	FL

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	P00280220	OTHER	FL	RAILROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4374189	OTHER	FL	AETNA
2	8078334	OTHER	FL	CIGNA
3	0415848	OTHER	FL	UNITED HEALTHCARE
4	312666	OTHER	FL	AVMED
5	34010	OTHER	FL	BLUE CROSS BLUE SHIELD
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1497765895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH A BALZANO M.D.

Provider Business Mailing Address
First Line	:	PO BOX 947407
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30394-7407
Country	:	US
Telephone Number	:	941-917-2600
Fax Number	:	941-917-7884

Provider Business Practice Location Address
First Line	:	200 HEALTHCARE WAY
Second Line	:	SUITE 202
City	:	NORTH VENICE
State	:	FL
Zip	:	34275-3226
Country	:	US
Telephone Number	:	941-261-0160
Fax Number	:	941-261-0165

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	11/08/2021

200 HEALTHCARE WAY , SUITE 103
NORTH VENICE, FL
34275-3226

Practice Phone: 941-261-0160
Practice Fax: 941-261-0165