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Contact Information

BALLOUT INTERNATIONAL LLC
1931 19TH PL
VERO BEACH, FL32960-3555
 Phone: 321-387-9451
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BALLOUT INTERNATIONAL LLC · (Female)

NPI Number 1629554225
Status Active
Credentials
Entity Individual
Enumeration date 07/17/2018
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 Not specified
Identifiers
  • FL Medicaid 100849400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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