Provider Demographics
NPI:1871918409
Name:BALESTRIERO, FERDINANDO (FRED) (NHA, LHRM)
Entity type:Individual
Prefix:MR
First Name:FERDINANDO (FRED)
Middle Name:
Last Name:BALESTRIERO
Suffix:
Gender:M
Credentials:NHA, LHRM
Other - Prefix:MR
Other - First Name:FRED
Other - Middle Name:
Other - Last Name:BALESTRIERO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NHA,LHRM
Mailing Address - Street 1:1511 NE 33RD ST
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6731
Mailing Address - Country:US
Mailing Address - Phone:954-782-0678
Mailing Address - Fax:954-782-9377
Practice Address - Street 1:1511 NE 33RD ST
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-6731
Practice Address - Country:US
Practice Address - Phone:954-782-0678
Practice Address - Fax:954-782-9377
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-18
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL5503061OtherHEALTHCARE RISK MANAGER LICENCE
FLNH3369OtherNHA LICENSE