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Organization
BALANCE: FOOT AND ANKLE, LLC
Active
Organization
BALANCE: FOOT AND ANKLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER PREZIOSO (CEO)
(216) 577-1003
Entity
Organization
Contact information
Practice address
14200 MADISON AVE, LAKEWOOD, OH 44107-4510
(216) 577-1003
Mailing address
1038 FOREST CLIFF DR, LAKEWOOD, OH 44107-1216
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
36.003502
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3102850
—
OH
Enumeration date
12/18/2016
Last updated
12/18/2016
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