Most Relevant Information
Provider Data
| NPI Number: | 1003668450 |
| Provider Name: | NATALIE JUN BALES MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/01/2024 |
| Last Updated: | 04/01/2024 |
Provider Practice Location
17 DAVIS BLVD STE 308
TAMPA
FL
336063438
Practice Location Phone/Fax
| Phone: | 8139742201 |
| Fax: |
Provider Mailing Location
17 DAVIS BLVD STE 308
TAMPA
FL
336063438
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |