Organization
MOBILE IN-BALANCE DIAGNOSTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONIDES G FINES (PRESIDENT)
(407) 451-5897
Entity
Organization
Contact information
Practice address
4305 VINELAND RD, STE G15, ORLANDO, FL 32811-7177
(407) 451-5897
(407) 386-6267
Mailing address
4305 VINELAND RD, STE G15, ORLANDO, FL 32811-7177
(407) 451-5897
(407) 386-6267
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
08/27/2007
Last updated
08/27/2007
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