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Individual

ANDREAS BALASIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
26829 TANIC DR STE 101, WESLEY CHAPEL, FL 33544-4612
(813) 517-6089
Mailing address
2927 NETWORK PL APT 101A, LUTZ, FL 33559-2142
(631) 942-0938

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
115367900
FL
Enumeration date
09/27/2019
Last updated
11/02/2022
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