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

Shane Bala, CST/CSFA

Individual provider Surgical Physician Assistant · NPI 1831878131

Shane Bala, CST/CSFA is a Surgical Physician Assistant in Clearwater, Florida. Practices as a sole proprietor. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

29253 US Highway 19 N
Clearwater, FL 33761-2102
Phone: (727) 313-4764
Fax: (727) 313-4764
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 215126

Record details

NPI number1831878131
Entity typeIndividual (Type 1)
GenderMale
Credentials CST/CSFA
Sole proprietorYes
NPI enumeratedJuly 13, 2023
Last updated in NPPESJuly 13, 2023
Certification dateJuly 13, 2023
Mailing address29253 Us Highway 19 N, Clearwater, FL 33761-2102

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