Individual provider · Type 1 NPI
Michael Bahlatzis, D.P.M
Foot & Ankle Surgery Podiatrist · Clewiston, FL
NPI number
1700847217
Active
Practice location
524 W Sagamore Ave
Clewiston, FL 33440-3514
Mailing address
9723 Blue Stone Cir
Fort Myers, FL 33913-6722
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Foot Surgery Podiatrist | 213ES0131X | 004310 (NY) |
| Surgical Physician Assistant | 363AS0400X | PA9115963 (FL) |
| Foot & Ankle Surgery Podiatrist Primary | 213ES0103X | PO4569 (FL) |
Foot & Ankle Surgery Podiatrist: Definition to come...
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About NPI 1700847217
Michael Bahlatzis, D.P.M's National Provider Identifier is 1700847217, issued on Apr 1, 2006. The primary taxonomy on file is Foot & Ankle Surgery Podiatrist (213ES0103X), and the practice location is in Clewiston, FL. The record was last updated on Feb 27, 2025.