MARK BALLOW, MD, Pediatric Allergy/Immunology TAMPA, FL

Contact Information

MARK BALLOW, MD

2 TAMPA GENERAL CIR
STC 5TH FLOOR
TAMPA, FL 33606-3603

Phone: 727-767-4150
Fax: 727-767-8532
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Pediatric Allergy/Immunology	2080P0201X	37	Physician/Pediatric Medicine
Allergy & Immunology	207K00000X	03	Physician/Allergy/ Immunology

Indicates primary specialty

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NPI Profile & details for MARK BALLOW · (Male)

NPI #	`1184660821`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	06/21/2006
Last updated	10/27/2020 - About 6 years ago
Sole proprietor ¹	No
Identifiers	FL License # ME112011 NY License # 174470 NY License # 174470-1 FL Medicaid 008130000 NY Medicaid 01084606 PA Medicaid 0011295550001 Other 000510824001 BC/BS Other 040426000993 FIDELIS Other 0207420 IHA Other 00010009301 UNIVERA FL Other 14P6J BLUE CROSS BLUE SHIELD
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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MARK BALLOW, MD – NPI #1184660821Pediatric Allergy/Immunology

Contact Information

Specialty

Pediatric Allergy/Immunology

Allergy & Immunology

NPI Profile & details for MARK BALLOW · (Male)

Reviews for MARK BALLOW

MARK BALLOW, MD – NPI #1184660821
Pediatric Allergy/Immunology