Wilbur Bala, MD | |
Lawtey Correctional Institution, 7819 Nw 228 St., Raiford, FL 32026-0001 | |
(904) 782-2318 | |
(904) 782-2011 |
Full Name | Wilbur Bala |
---|---|
Gender | Male |
Speciality | General Practice |
Location | Lawtey Correctional Institution, Raiford, Florida |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245660406 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | ME27246 (Florida) | Primary |
Mailing Address | Practice Location Address |
---|---|
Wilbur Bala, MD Lawtey Correctional Institution, 7819 Nw 228 St., Raiford, FL 32026 Ph: (904) 782-2318 | Wilbur Bala, MD Lawtey Correctional Institution, 7819 Nw 228 St., Raiford, FL 32026-0001 Ph: (904) 782-2318 |
Chuong Thanh Le, M.D. General Practice Medicare: Not Enrolled in Medicare Practice Location: 7819 Nw 228th Street, Raiford, FL 32026 Phone: 904-368-3454 Fax: 904-368-3475 | |
Jeremy Scott West, General Practice Medicare: Not Enrolled in Medicare Practice Location: 23916 Nw 83rd Ave, Raiford, FL 32083 Phone: 904-368-2500 |