{"npi":"1700847217","type":"NPI-1","status":"active","name":{"display":"Dr. Michael Bahlatzis D.P.M","other":[],"first":"MICHAEL","last":"BAHLATZIS","credential":"D.P.M"},"specialty":{"primary_taxonomy":"213ES0103X","primary_taxonomy_description":"Foot & Ankle Surgery Podiatrist","slug":"foot-ankle-surgery-podiatrist","schema_org_specialty":null,"all":[{"code":"213ES0131X","description":"Foot Surgery Podiatrist","primary":false,"state":"NY","license":"004310"},{"code":"363AS0400X","description":"Surgical Physician Assistant","primary":false,"state":"FL","license":"PA9115963"},{"code":"213ES0103X","description":"Foot & Ankle Surgery Podiatrist","primary":true,"state":"FL","license":"PO4569"}]},"addresses":[{"purpose":"LOCATION","street_1":"524 W SAGAMORE AVE","city":"CLEWISTON","state":"FL","postal_code":"334403514","country_code":"US","phone":"8639023032"},{"purpose":"MAILING","street_1":"9723 BLUE STONE CIR","city":"FORT MYERS","state":"FL","postal_code":"339136722","country_code":"US","phone":"6072153887"}],"license":{"state":"FL","number":"PO4569"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"01039909","state":"NY","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20100628000932","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"NY","pac_id":"1557492097"},{"enrlmt_id":"I20240719001171","type_code":"14-48","type_desc":"PRACTITIONER - PODIATRY","state":"FL","pac_id":"1557492097"}]},"enumeration_date":"2006-04-01","last_updated":"2025-02-27","_meta":{"source":"NPPES","snapshot_date":"2025-02-27","doc_url":"https://findmynpi.com/api"}}