# BALANCE MEDICAL AND WELLNESS GROUP LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356892681
- **Authorized official:** DR. JENNIFER L PREZIOSO DPM (OWNER)
- **Authorized official phone:** (330) 637-0348

## Contact information

- **Practice address:** 14200 MADISON AVE, LAKEWOOD, OH 44107-4510
- **Practice address phone:** (330) 637-0348
- **Practice address fax:** (330) 637-0048
- **Mailing address:** 14200 MADISON AVE, LAKEWOOD, OH 44107-4510
- **Mailing address phone:** (330) 637-0348
- **Mailing address fax:** (330) 637-0048

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36-003502 | OH | Yes |

## Other

- **Enumeration date:** 10/21/2016
- **Last updated:** 10/21/2016