Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RAPHAEL TITO BALBINO, M.D.
Active Sole ProprietorRAPHAEL TITO BALBINO, M.D. is a 202D00000X healthcare provider located in JACKSONVILLE, Florida. NPI 1972894921 is currently active in the NPPES registry. Verify at CMS.
202D00000X · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1972894921
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2011 (15.298014845327 yrs)
- Last Updated
- Dec 23, 2025
- Licenses
-
ME123543 (FL)ME123543 (FL)ME123543 (FL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9283 SAN JOSE BLVD STE 201JACKSONVILLE, FL, 322575584Browse FL providers · Browse ZIP 32257
- Phone
- 9042685826
- Fax
- 9042685873
- Primary Specialty
-
202D00000X
202D00000X
- Additional Specialty
- Geriatric Medicine
- Additional Specialty
- Family Medicine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.