WILBUR BALA M.D. NPI 1245660406

NPI Information

  • NPI: 1245660406
  • Provider Name: WILBUR BALA, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: LAWTEY CORRECTIONAL INSTITUTION
    7819 NW 228 ST.
    RAIFORD, FL
    ZIP 32026
  • Phone: (904) 782-2318

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NPI Details

Wilbur Bala, M.D. is a general practice in Raiford, FL. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Wilbur Bala, M.D. NPI is 1245660406. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

LAWTEY CORRECTIONAL INSTITUTION
7819 NW 228 ST.
RAIFORD, FL
ZIP 32026-001
Phone: (904) 782-2318
Fax: (904) 782-2011

The enumeration date for this NPI number is 11/25/2013 and was last updated on 11/25/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral PracticeME27246FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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