Individual
MICHAEL A BALSAMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Mailing address
5555 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2513
(305) 689-5555
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL6093
FL
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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