Individual
CONRAD BALMES BACOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 UNIVERSITY PKWY STE 103, SARASOTA, FL 34243-2894
(941) 444-5970
(941) 444-5971
Mailing address
9070 W CHEYENNE AVE STE 100, LAS VEGAS, NV 89129-8935
(702) 476-4990
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
5501012742
MI
225100000X
Physical Therapist
Primary
PT28218
FL
Other
Enumeration date
03/08/2007
Last updated
06/21/2023
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