Aiysha C Balbosa, DO | |
5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 | |
(954) 265-1616 | |
(954) 265-1615 |
Full Name | Aiysha C Balbosa |
---|---|
Gender | Female |
Speciality | Otolaryngology - Pediatric Otolaryngology |
Location | 5830 Coral Ridge Dr Ste 140, Coral Springs, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1295928380 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207YP0228X | Otolaryngology - Pediatric Otolaryngology | OS15730 (Florida) | Primary |
Entity Name | Children's Physician Services Of South Texas |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568658227 PECOS PAC ID: 3678478872 Enrollment ID: O20040324001704 |
Mailing Address | Practice Location Address |
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Aiysha C Balbosa, DO 2900 Corporate Way, Door D, Mirarmar, FL 33025-3925 Ph: (954) 276-5685 | Aiysha C Balbosa, DO 5830 Coral Ridge Dr Ste 140, Coral Springs, FL 33076-3388 Ph: (954) 265-1616 |
Ram Kumar Madasu, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5511 N University Dr, Suite 101b, Coral Springs, FL 33067 Phone: 954-755-4002 Fax: 954-755-5010 | |
Dr. Brad Nitzberg, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 5401 N University Dr, Suite 203a, Coral Springs, FL 33067 Phone: 954-755-1946 Fax: 954-755-7789 |