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

Ballast Medical Management, LLC

Organization Preferred Provider Organization · NPI 1447768452

Ballast Medical Management, LLC is a Preferred Provider Organization in Miami, Florida. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

9200 S Dadeland Blvd Ste 208
Miami, FL 33156-2707
Phone: (786) 326-2830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Preferred Provider Organization (primary) Taxonomy 305R00000X

Record details

NPI number1447768452
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omar Montesino — Chief Executive Officer · (786) 615-2572
NPI enumeratedJanuary 12, 2018
Last updated in NPPESNovember 14, 2023
Certification dateNovember 14, 2023
Mailing address9200 S Dadeland Blvd Ste 208, Miami, FL 33156-2707

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