Provider Demographics
NPI:1659521292
Name:BALKARAN, JOANNE N (JOANNE BALKARAN)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:N
Last Name:BALKARAN
Suffix:
Gender:F
Credentials:JOANNE BALKARAN
Other - Prefix:DR
Other - First Name:JOANNE
Other - Middle Name:N
Other - Last Name:LAKHAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPM
Mailing Address - Street 1:1865 NIGHTINGALE LN STE A
Mailing Address - Street 2:
Mailing Address - City:TAVARES
Mailing Address - State:FL
Mailing Address - Zip Code:32778-4360
Mailing Address - Country:US
Mailing Address - Phone:352-385-7718
Mailing Address - Fax:352-385-7719
Practice Address - Street 1:1865 NIGHTINGALE LN STE A
Practice Address - Street 2:
Practice Address - City:TAVARES
Practice Address - State:FL
Practice Address - Zip Code:32778-4360
Practice Address - Country:US
Practice Address - Phone:352-385-7718
Practice Address - Fax:352-385-7719
Is Sole Proprietor?:No
Enumeration Date:2008-09-19
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO3337213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLP01445564OtherRAILROAD MEDICARE
FLP01445564OtherRAILROAD MEDICARE
FLP00808617OtherRAIL ROAD MEDICARE GROUP MEMBER ID