# BALANCE: FOOT AND ANKLE, LLC

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

## Provider details

- **NPI number:** 1407390974
- **Authorized official:** DR. JENNIFER PREZIOSO (CEO)
- **Authorized official phone:** (216) 577-1003

## Contact information

- **Practice address:** 14200 MADISON AVE, LAKEWOOD, OH 44107-4510
- **Practice address phone:** (216) 577-1003
- **Mailing address:** 1038 FOREST CLIFF DR, LAKEWOOD, OH 44107-1216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | 36.003502 | OH | Yes |

## Other

- **Enumeration date:** 12/18/2016
- **Last updated:** 12/18/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3102850 | — | OH |