Provider Demographics
NPI:1548449234
Name:BALAMUCKI, CHRISTOPHER JOHN (MD)
Entity type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:JOHN
Last Name:BALAMUCKI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6420 W NEWBERRY RD
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32605-6621
Mailing Address - Country:US
Mailing Address - Phone:352-333-5840
Mailing Address - Fax:352-333-5841
Practice Address - Street 1:NORTH FLORIDA RADIATION ONCOLOGY LLC
Practice Address - Street 2:6420 W NEWBERRY RD
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32605-4308
Practice Address - Country:US
Practice Address - Phone:352-333-5840
Practice Address - Fax:352-333-5841
Is Sole Proprietor?:No
Enumeration Date:2007-10-30
Last Update Date:2024-09-24
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Provider Licenses
StateLicense IDTaxonomies
FLME 1119422085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006424500Medicaid