SearchFlorida106S00000X

Jessica Ballogg

NPI 1184209918 · on the registry since 2021 · sole proprietor

Practice

Address
1620 Clearview Ave
Clearwater, FL 33756
Phone
(727) 239-2789

Registry record

Primary taxonomy
106S00000X
106S00000X
Also registered as
106S00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida