# BALANCE INTEGRATIVE MEDICINE LLC

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

## Provider details

- **NPI number:** 1730643552
- **Authorized official:** ILYAS AMBEYAH HAMID AP (PRESIDENT)
- **Authorized official phone:** (954) 667-5882

## Contact information

- **Practice address:** 4952 SW 38TH WAY, FORT LAUDERDALE, FL 33312
- **Practice address phone:** (954) 667-5882
- **Mailing address:** 1007 NORTH FEDERAL HIGHWAY \#9018, FORT LAUDERDALE, FL 33304
- **Mailing address phone:** (954) 667-5882

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/25/2019
- **Last updated:** 01/25/2019