Provider Demographics
NPI:1386994135
Name:SERGIO L BALINGIT JR MD PA
Entity type:Organization
Organization Name:SERGIO L BALINGIT JR MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:L
Authorized Official - Last Name:BALINGIT
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:352-751-0448
Mailing Address - Street 1:1501 US HWY 441N
Mailing Address - Street 2:SUITE 1208
Mailing Address - City:THE VILLAGES
Mailing Address - State:FL
Mailing Address - Zip Code:32159
Mailing Address - Country:US
Mailing Address - Phone:352-751-0448
Mailing Address - Fax:352-751-1962
Practice Address - Street 1:1501 US HWY 441N
Practice Address - Street 2:SUITE 1208
Practice Address - City:THE VILLAGES
Practice Address - State:FL
Practice Address - Zip Code:32159
Practice Address - Country:US
Practice Address - Phone:352-751-0448
Practice Address - Fax:352-751-1962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-19
Last Update Date:2012-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty