Individual provider · Type 1 NPI

Shane Bala, CST/CSFA

Surgical Physician Assistant · Clearwater, FL

NPI number 1831878131 Active

Practice location

29253 US Highway 19 N
Clearwater, FL 33761-2102

Call (727) 313-4764 Map

Fax (727) 313-4764

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X215126

Surgical Physician Assistant: Definition to come...

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About NPI 1831878131

Shane Bala, CST/CSFA's National Provider Identifier is 1831878131, issued on Jul 13, 2023. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Clearwater, FL. The record was last updated on Jul 13, 2023.