Provider Demographics
NPI:1659232593
Name:BALAN, CESAR DUMA JR
Entity type:Individual
Prefix:MR
First Name:CESAR
Middle Name:DUMA
Last Name:BALAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3057 TERRACE VIEW LN
Mailing Address - Street 2:
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33759-3442
Mailing Address - Country:US
Mailing Address - Phone:443-980-9881
Mailing Address - Fax:
Practice Address - Street 1:3057 TERRACE VIEW LN
Practice Address - Street 2:
Practice Address - City:CLEARWATER
Practice Address - State:FL
Practice Address - Zip Code:33759-3442
Practice Address - Country:US
Practice Address - Phone:443-980-9881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-20
Last Update Date:2025-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11036976363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily