| Ballout International Llc | |
|
1931 19th Pl Vero Beach FL 32960-3555 | |
| (313) 574-2965 | |
| (702) 441-2580 |
| Full Name | Ballout International Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1931 19th Pl, Vero Beach, Florida |
| Authorized Official Name and Position | Hussien Ballout (OWNER) |
| Authorized Official Contact | 3135742965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballout International Llc 1931 19th Pl Vero Beach FL 32960-3555 Ph: (313) 574-2965 | Ballout International Llc 1931 19th Pl Vero Beach FL 32960-3555 Ph: (313) 574-2965 |
| NPI Number | 1629554225 |
|---|---|
| Provider Enumeration Date | 07/17/2018 |
| Last Update Date | 09/18/2024 |
| Medicare PECOS PAC ID | 5890045256 |
|---|---|
| Medicare Enrollment ID | O20180905001883 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629554225 | NPI | - | NPPES |
| JL435A | Other | FL | MEDICARE PTAN |
| 100849400 | Medicaid | FL | |
| DY5252 | Other | FL | RRMEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Hussien Abbasse Ballout |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1376955682 PECOS PAC ID: 0042504318 Enrollment ID: I20170802003319 |
| Provider Name | Toya Ann Alder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255819157 PECOS PAC ID: 4486906633 Enrollment ID: I20181016002830 |
| Provider Name | Ingrid A Lovelace-joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811404866 PECOS PAC ID: 0042555203 Enrollment ID: I20181218000133 |
| Provider Name | Jazmine N Loman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548493844 PECOS PAC ID: 2567863285 Enrollment ID: I20210701000588 |
| Provider Name | Kelsie Carrier |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1396309753 PECOS PAC ID: 3678976727 Enrollment ID: I20210727001573 |
| Provider Name | Juliette Powell Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386301299 PECOS PAC ID: 4082001482 Enrollment ID: I20220504001685 |
| Provider Name | Robert H Kim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265923841 PECOS PAC ID: 0446637524 Enrollment ID: I20220510002552 |
| Provider Name | Gelineau Puna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992402572 PECOS PAC ID: 1355716895 Enrollment ID: I20230413002900 |
| Provider Name | Christopher Johnson |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1225617673 PECOS PAC ID: 6709241334 Enrollment ID: I20230503001513 |
| Provider Name | Tamelia D Lakraj-edwards |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1114367802 PECOS PAC ID: 9032353230 Enrollment ID: I20230831000837 |
| Provider Name | Issachar Devine |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1750886503 PECOS PAC ID: 0547614430 Enrollment ID: I20230926003407 |
| Provider Name | Robert Ernst Milici |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922882208 PECOS PAC ID: 5991157562 Enrollment ID: I20240118004022 |
| Provider Name | Fletcher Eldemire |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1699416016 PECOS PAC ID: 1254797764 Enrollment ID: I20241202000886 |
| Provider Name | Ikola Baccas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649964693 PECOS PAC ID: 3476081373 Enrollment ID: I20250106002325 |
| Provider Name | Falahuddin Syed |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1962963355 PECOS PAC ID: 1052831872 Enrollment ID: I20250225000092 |
| Provider Name | Tehmur Raja |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1255992988 PECOS PAC ID: 2264953488 Enrollment ID: I20250304003652 |
Coast Medical Centers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1193 South Federal Highway, Vero Beach, FL 32963 Phone: 772-999-2261 Fax: 772-999-3477 | |
Md Now Medical Centers Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 640 21st St, Vero Beach, FL 32960 Phone: 772-299-1092 Fax: 772-978-1960 | |
Treasure Coast Community Health Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1553 Us Highway 1, Vero Beach, FL 32960 Phone: 772-257-8224 Fax: 772-252-3245 | |
Florida Respiratory-st Lucie Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1985 71st Ave, Vero Beach, FL 32966 Phone: 772-778-2101 Fax: 772-778-2102 | |
True Lily Health Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6425 21st St Sw, Vero Beach, FL 32968 Phone: 772-321-9789 | |
Timothy L Cocks Md Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2000 38th Ave, Vero Beach, FL 32960 Phone: 772-794-2227 | |
Ellen T Melvin Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3745 11th Cir Ste 103, Vero Beach, FL 32960 Phone: 772-569-6869 Fax: 772-569-8214 |