Balconis, Andrea J

Balconis, Andrea J is an individual health care provider with primary practice located at 706 North 7Th Street , Ft Pierce FL 34950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Balconis, Andrea J can be contacted via phone (772) 469-9900.

Contact Information

Primary practice address
706 North 7Th Street Ft Pierce FL 34950
Fax: (772) 468-2364
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X ME0063483 Florida

Profile Details

NPI number 1942213186
LBN Legal business name Balconis, Andrea J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2006
Last updated Jul 15th, 2008 - about 17 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 1942213186 NPPES
Florida MEDICAID 265689200

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