NPI 1013686690

Balance Foot and Ankle LLC

Organisation Foot & Ankle Surgery Podiatrist Medina, OH

Practice location

Address: 4071 N Jefferson St, Medina, OH 44256-5622
Phone: (216) 658-0111
Mailing address: 14200 Madison Ave, Lakewood, OH 44107-4510

Authorised official

Name: Jennifer Lynne Prezioso
Title: Owner
Phone: (216) 658-0111

Registered specialties

Foot & Ankle Surgery Podiatrist Primary

Podiatric Medicine & Surgery Service Providers Taxonomy 213ES0103X

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Registry record

NPI: 1013686690
Entity type: Organization
NPI issued: 8 Sep 2021
Record last updated: 8 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.