Active NPI
Diana Balsalobre, M.D.
- Neurology Physician
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME129499
- Practice address
- 201 N Park Ave Ste 201
Apopka, FL 32703-4147 - Phone
- (407) 889-1199
- Fax
- (407) 889-1193
- NPI assigned
- Apr 13, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 13712 | PR | |
| Neurology Physician | 2084N0400X | ME129499 | FL | Primary |
Addresses
Primary practice location
201 N Park Ave Ste 201
Apopka, FL 32703-4147
Mailing address
201 N Park Ave Ste 201
Apopka, FL 32703-4147
Phone (407) 889-1199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME129499 | FL | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Medical Group Inc | Current | Accepting new patients | |
| Florida Hospital Medical Group Inc | Current | Accepting new patients |
Locations
201 N Park Ave
Ste 201
Apopka, FL 32703
Phone (407) 814-2680
400 Celebration Pl
Kissimmee, FL 34747
Phone (407) 303-4000
2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700
265 E Rollins St
Ste 12000
Orlando, FL 32804
1605 W Fairbanks Ave
Winter Park, FL 32789
Phone (407) 845-8356
Interoperability endpoints
- https://api.platform.athenahealth.com/14311/brand/1/csg/1/fhir/r4
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
-
dba Orlando Neurosurgery
- Neurological Surgery Physician
- Orlando, FL
- NPI 1457735326
-
dba Rothman Orthopaedics AdventHealth Medical Group at Minneola
- Prosthetic/Orthotic Supplier
- Minneola, FL
- NPI 1285591545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486339200000",
"number": "1194949503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 N PARK AVE STE 201",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034147",
"telephone_number": "407-889-1199",
"fax_number": "407-889-1193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 N PARK AVE STE 201",
"city": "APOPKA",
"state": "FL",
"postal_code": "327034147",
"telephone_number": "407-889-1199",
"fax_number": "407-889-1193"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALSALOBRE",
"first_name": "DIANA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2017-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "PR",
"license": "13712",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME129499",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.