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

Dora Eiko Mitsue Watanabe Ballarta, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1659753945

Dora Eiko Mitsue Watanabe Ballarta, MD is an Internal Medicine in Clermont, Florida. Qualified in 2001, 25 years ago. Practices with Steward Center for Palliative Care, an 8-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

509 Cagan View Rd
Clermont, FL 34714-6405
Phone: (407) 905-8827
Fax: (407) 905-8998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME147690 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 31682-R

Record details

NPI number1659753945
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2015
Last updated in NPPESDecember 15, 2020
Certification dateDecember 15, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Steward Center For Palliative Care — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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