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 is a Specialist 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
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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