Individual
MR. MATTHEW BAKOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1921 WALDEMERE ST STE 504, SARASOTA, FL 34239-2941
(941) 917-8525
(941) 917-8526
Mailing address
PO BOX 863407, ORLANDO, FL 32886-3407
(941) 917-2600
(941) 917-7884
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
OS16826
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107632200
—
FL
Enumeration date
04/30/2015
Last updated
06/30/2021
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