Organization
IDEAL BALANCE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN SCOTT LAU AP DOM LMT (DIRECTOR)
(813) 766-1319
Entity
Organization
Contact information
Practice address
10927 N 56TH ST, TEMPLE TERRACE, FL 33617-3000
(813) 766-1319
(888) 440-0629
Mailing address
9613 N 55TH ST, TEMPLE TERRACE, FL 33617-4723
(813) 766-1319
(888) 440-0629
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
3036
FL
Other
Enumeration date
01/27/2012
Last updated
02/28/2012
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