| NPI | 1851729693 |
|---|---|
| Former Legal Business Name | INNER BALANCE FAMILY MEDICINE, PA |
| Entity Type | Organization |
| Authorized Contact | DIONNE LAYNE HINDS Owner 772-249-0636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: FL ME106391) |
| Enumeration Date | 2013-10-14 |
| Last Update Date | 2024-11-15 |