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Organization
INNER BALANCE FAMILY MEDICINE, LLC
Active
Organization
INNER BALANCE FAMILY MEDICINE, LLC
Active
Parent organization
INNER BALANCE FAMILY MEDICINE, LLC
Other names
Inner Balance Family Medicine, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
INNER BALANCE FAMILY MEDICINE, LLC
Authorized official
DIONNE LAYNE HINDS M.D. (OWNER)
(772) 249-0636
Entity
Organization
Contact information
Practice address
1400 SE GOLDTREE DRIVE, SUITE 207, PORT SAINT LUCIE, FL 34952-7583
(772) 323-0040
(772) 237-5849
Mailing address
1400 SE GOLDTREE DRIVE, SUITE 207, PORT SAINT LUCIE, FL 34952-7583
(772) 323-0040
(772) 237-5849
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/21/2019
Last updated
07/11/2019
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