Search › Florida › 347E00000X
Mario Ballantyne
NPI 1770008914 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3945 Rose Of Sharon Dr
Orlando, FL 32808 - Phone
- (321) 279-1218
- Fax
- (407) 704-4464
- Organisation at this address
- Medtransit Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 347E00000X
347E00000X
- Also registered as
- 172A00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-07-21
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