Balandis, Robert C

Balandis, Robert C is an individual health care provider with primary practice located at 8844A State Road 84 , Davie FL 33324. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Balandis, Robert C can be contacted via phone (954) 452-4590.

Contact Information

Primary practice address
8844A State Road 84 Davie FL 33324
Fax: (954) 452-0509
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO0001925 Florida

Profile Details

NPI number 1063520617
LBN Legal business name Balandis, Robert C
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Dec 8th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063520617 NPPES
Florida MEDICAID 053167700

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