NPIMap

Organization Active NPI

Balance Integrative Medicine LLC

  • Acupuncturist
  • Fort Lauderdale, FL
National Provider Identifier
1730643552
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
BALANCE INTEGRATIVE MEDICINE LLC
Practice address
4952 SW 38TH Way
Fort Lauderdale, FL 33312
Phone
(954) 667-5882
NPI assigned
Jan 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ilyas Ambeyah Hamid, APNPI 1548733637
Title
President
Phone
(954) 667-5882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

4952 SW 38TH Way
Fort Lauderdale, FL 33312

Mailing address

1007 North Federal Highway #9018
Fort Lauderdale, FL 33304
Phone (954) 667-5882

National Provider Directory

National Provider Directory

Locations

1007 N Federal Hwy
Ft Lauderdale, FL 33304
Phone (954) 336-7722

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548374400000",
    "number": "1730643552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 NORTH FEDERAL HIGHWAY #9018",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33304",
            "telephone_number": "954-667-5882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4952 SW 38TH WAY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "33312",
            "telephone_number": "954-667-5882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE INTEGRATIVE MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-25",
        "last_updated": "2019-01-25",
        "status": "A",
        "authorized_official_last_name": "HAMID",
        "authorized_official_first_name": "ILYAS",
        "authorized_official_middle_name": "AMBEYAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-667-5882",
        "authorized_official_credential": "AP"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.