Individual
ANDREA J BALCONIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
706 NORTH 7TH STREET, FT PIERCE, FL 34950
(772) 469-9900
(772) 468-2364
Mailing address
706 NORTH 7TH STREET, FT PIERCE, FL 34950
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME0063483
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265689200
—
FL
Enumeration date
08/15/2006
Last updated
07/15/2008
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