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NPI Code Detail

MEDICARE: DR. DANIEL JOSEPH BALLOW M.D.

MEDICARE:  DR. DANIEL JOSEPH BALLOW  M.D.
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
1208600000XSurgery PhysicianU0071TX
2208800000XUrology PhysicianME125306FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1HVQ2QOTHERFLFLORIDA BLUE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1811280373
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DANIEL JOSEPH BALLOW M.D.
Provider Business Mailing Address
First Line : 1717 N E ST STE 430
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-6345
Country : US
Telephone Number : 850-437-8711
Fax Number :
Provider Business Practice Location Address
First Line : 1717 N E ST
Second Line : SUITE 430
City : PENSACOLA
State : FL
Zip : 32501-6339
Country : US
Telephone Number : 850-437-8711
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2011
Last Update Date : 03/26/2026

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Directions to “ DR. DANIEL JOSEPH BALLOW M.D.” Practice Location

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