Organization
BALLOUT INTERNATIONAL PLLC
Active
Other names
Evolutionary Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
HUSSIEN BALLOUT MD (OWNER)
(321) 387-9451
Entity
Organization
Contact information
Practice address
1931 19TH PL, VERO BEACH, FL 32960-3555
(321) 387-9451
Mailing address
PO BOX 302136, DALLAS, TX 75303-2136
(321) 387-9451
Taxonomy
Speciality
Code
Description
License number
State
204D00000X
Neuromusculoskeletal Medicine & OMM Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100849400
—
FL
Enumeration date
07/17/2018
Last updated
06/23/2026
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