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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

NPI Number 1629554225
LBN Legal business name BALLOUT INTERNATIONAL LLC
Authorized official HUSSIEN BALLOUT - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/17/2018
Last updated 10/09/2025 - About 8 months ago
Identifiers
FL Medicaid 100849400
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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