| 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 |