Provider Demographics
NPI:1891868998
Name:CENTRAL FLORIDA BALANCE LLC
Entity Type:Organization
Organization Name:CENTRAL FLORIDA BALANCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:386-943-9995
Mailing Address - Street 1:929 N SPRING GARDEN AVE
Mailing Address - Street 2:SUITE 180
Mailing Address - City:DELAND
Mailing Address - State:FL
Mailing Address - Zip Code:32720-0900
Mailing Address - Country:US
Mailing Address - Phone:386-943-9995
Mailing Address - Fax:386-943-9905
Practice Address - Street 1:929 N SPRING GARDEN AVE
Practice Address - Street 2:SUITE 180
Practice Address - City:DELAND
Practice Address - State:FL
Practice Address - Zip Code:32720-0900
Practice Address - Country:US
Practice Address - Phone:386-943-9995
Practice Address - Fax:386-943-9905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2007-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory