Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

David S Ballestas MD PA

Organization Specialist · NPI 1093901282

David S Ballestas MD PA provides Specialist services in Port Charlotte, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2525 Harbor Blvd Ste 102
Port Charlotte, FL 33952-5317 Not confirmed with CMS for 18 years — call before visiting
Phone: (941) 629-7593
Fax: (941) 625-2751
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence H87694 (FL)

Record details

NPI number1093901282
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Ballestas — Owner/President · (941) 629-7593
Other names Medical Pavilion Clinic
NPI enumeratedSeptember 20, 2007
Last updated in NPPESMay 9, 2008
Mailing address2525 Harbor Blvd, Suite 102, Port Charlotte, FL 33952-5317

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