| Doctor Name: | MR. EDWIN LU BALLADA |
| NPI Number: | 1891828927 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | 23177 |
| Business Practice Address: | 2800 Ruleme St Apt 46 Eustis, FL - 327266512 |
| Business Phone Number: | 3526179326 |
| Business Fax Number: | |
| Mailing Address: | 910 Old Camp Rd, Ste 92 THE VILLAGES |
| State: | FL |
| Postal Code: | 321625605 |
| Phone Number: | 3527752180 |
| Fax Number: | 3527752930 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 04/29/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 23177 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |