Balance Center of St Petersburg

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

BALANCE CENTER OF ST PETERSBURG

Practice address

400 12TH Ave N
St Petersburg, FL 33701-1120

Phone

(727) 896-2202

Fax

(727) 822-6407

NPI assigned

Oct 25, 2007

Last updated

Oct 25, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Larry Williams

Title

President/Ceo

Phone

(727) 896-2202

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1770762858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 12TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011120",
            "telephone_number": "727-896-2202",
            "fax_number": "727-822-6407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 12TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337011120",
            "telephone_number": "727-896-2202",
            "fax_number": "727-822-6407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE CENTER OF ST PETERSBURG",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-10-25",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "727-896-2202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Baker, LMT
• Valorie Baker
• Victoria Baker, MA
• Irene Romani Bakheet, PHARMD
• Nikhil Kumar Balagoni
• Balance Centers of St Petersburg
• Balanced Grove Wellness Center, LLC
• Balanced Minds Psychology & Wellness, LLLP
• Anthony Baldizzi, M. D.
• David Brian Baldwin

• Clinic/Center in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; 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.