Organization
BALANCE DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES JOHN PILOCO (VICE PRRESIDENT)
(914) 949-9276
Entity
Organization
Contact information
Practice address
2195 JENKS AVE, PANAMA CITY, FL 32405-4551
(850) 522-4770
(850) 522-4760
Mailing address
2195 JENKS AVE, PANAMA CITY, FL 32405-4551
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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